3M? NEXCARE? WATERPROOF BANDAGES N/A 432-50

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2019-03-11 for 3M? NEXCARE? WATERPROOF BANDAGES N/A 432-50 manufactured by 3m Health Care.

Event Text Entries

[138440071] Age or date of birth, weight, ethnicity, race: this information was not provided. Lot #, expiration date: lot # provided was 186935rev-01. This is not a valid lot code; therefore, expire date unknown. Clear waterproof bandages have a 5 years shelf life. Reporter: initial reporter's full physical address and email address was not provided. Occupation: initial reporter's occupation was not specified. Manufacture date: a valid lot # was not provided; therefore, manufacture date is unknown. The device has been not returned for evaluation, though requested by 3m. Complaint history for the last 24 months was reviewed for the defined failure code for the product's global sales code (gsc) of sxj. No trends were observed. The product will be evaluated and a follow up report will be submitted if product is received.
Patient Sequence No: 1, Text Type: N, H10


[138440072] A female customer (age not specified) applied the referenced bandages to her left cheek to cover a surgery wound. The woman applied the bandages to cover the partially healed wound while going into water. The bandages were used for a couple of weeks. Bandage adhesive placement was not rotated during application. No ointment or creams were being applied to the wound site. On (b)(6) 2019, the woman alleged noticing her skin underneath the bandage was bright red upon removal. She reported the bandage was removed gently. The reddened skin was reported to be in the shape of the bandage adhesive. No bumps were present. No known allergies were specified. The woman discontinued use of the bandages. The woman alleged the skin surrounding the bandage application area developed a bright red rash which spread. She consulted a dermatologist on an unspecified date. The dermatologist recommended hydrocortisone 2. 5% topical be applied over the affected area. On (b)(6) 2019, the woman reported the affected area was clearing up with one day remaining on prescribed hydrocortisone.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2110898-2019-00034
MDR Report Key8409476
Report SourceCONSUMER
Date Received2019-03-11
Date of Report2019-04-02
Date of Event2019-02-07
Date Mfgr Received2019-03-14
Date Added to Maude2019-03-11
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 ContactMR. BRYAN BECKER
Manufacturer Street2510 CONWAY AVENUE
Manufacturer CityST. PAUL MN 55144
Manufacturer CountryUS
Manufacturer Postal55144
Manufacturer Phone6517375578
Manufacturer G13M HUTCHINSON
Manufacturer Street905 ADAMS STREET SE
Manufacturer CityHUTCHINSON MN 55350
Manufacturer CountryUS
Manufacturer Postal Code55350
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand Name3M? NEXCARE? WATERPROOF BANDAGES
Generic NameTAPE AND BANDAGE, ADHESIVE
Product CodeKGX
Date Received2019-03-11
Returned To Mfg2019-03-11
Model NumberN/A
Catalog Number432-50
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
Manufacturer3M HEALTH CARE
Manufacturer Address2510 CONWAY AVENUE ST. PAUL MN 55144 US 55144


Patients

Patient NumberTreatmentOutcomeDate
101. Other; 2. Required No Informationntervention 2019-03-11

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