AMERIGEL HYDROGEL WOUND DRESSING "ADVANCED FORMULA"

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-01-23 for AMERIGEL HYDROGEL WOUND DRESSING "ADVANCED FORMULA" manufactured by Amerx Healthcare Corp..

Event Text Entries

[134179037] After re-section of left large toenail, applied wound dressing and several days later, it began swelling and oozing. Skin appeared to be like necrosis. Wound had rancid smell. Stopped using gel. It does not appear to be healing despite amoxicillin antibiotics. Signs of skin infection like oozing, heat, swelling, redness, or pain. Nail resection of left large toenail. Did the problem stop after the person reduced the dose or stopped taking or using the product? No. How was it taken or used: 1 ounce(s), twice a day, topical. Date the person started taking or using the product: (b)(6) 2018; date the person stopped taking or using the product: (b)(6) 2019. Reason for use: wound treatment.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5083323
MDR Report Key8274016
Date Received2019-01-23
Date of Report2019-01-21
Date of Event2019-01-14
Date Added to Maude2019-01-24
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameAMERIGEL HYDROGEL WOUND DRESSING "ADVANCED FORMULA"
Generic NameDRESSING, WOUND AND BURN, HYDROGEL W/DRUG AND/OR BIOLOGIC
Product CodeMGQ
Date Received2019-01-23
Lot Number760
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerAMERX HEALTHCARE CORP.


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2019-01-23

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