CICA CARE 6X12CM CTN 5 66320703

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-12-10 for CICA CARE 6X12CM CTN 5 66320703 manufactured by Smith & Nephew Medical Ltd..

Event Text Entries

[129874920]
Patient Sequence No: 1, Text Type: N, H10


[129874921] It was reported that during use of cica-care, the patient suffered from second degree burns at the place where the product was applied.
Patient Sequence No: 1, Text Type: D, B5


[134384426] The associated complaint sample was not returned for evaluation, please see below the results of our investigation: we have now concluded our investigation into this complaint. A review of the associated batch manufacturing records did not identify any issue at the point of manufacture which may have caused or contributed to the issue highlighted by the complainant. In addition it can be confirmed that all finished product specification testing was satisfied at the point of release. No complaint sample was available for assessment. No clinically relevant documentation was provided, therefore, a thorough medical investigation could not be performed. No further medical assessment is warranted at this time. The investigation did not find product defect or manufacturing process issue so no action is required at present. Once a sample is received, we will assess and make further investigation. Smith and nephew acknowledge customer concern and are continually investigating ways to develop and improve our products. We will continue to monitor for any adverse trends relating to this product range.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number8043484-2018-00432
MDR Report Key8148534
Date Received2018-12-10
Date of Report2019-01-29
Date of Event2018-11-11
Date Mfgr Received2018-11-20
Date Added to Maude2018-12-10
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactDR. SARAH FREESTONE
Manufacturer Street101 HESSLE ROAD
Manufacturer CityHULL HU3 2BN
Manufacturer CountryUK
Manufacturer PostalHU3 2BN
Manufacturer G1SMITH & NEPHEW MEDICAL LTD.
Manufacturer Street101 HESSLE ROAD
Manufacturer CityHULL HU3 2BN
Manufacturer CountryUK
Manufacturer Postal CodeHU3 2BN
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameCICA CARE 6X12CM CTN 5
Generic NameELASTOMER, SILICONE, FOR SCAR MANAGEMENT
Product CodeMDA
Date Received2018-12-10
Catalog Number66320703
Lot Number201731
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSMITH & NEPHEW MEDICAL LTD.
Manufacturer Address101 HESSLE ROAD HULL HU3 2BN UK HU3 2BN


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2018-12-10

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