MSC327100Z

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-04-12 for MSC327100Z manufactured by Medline Industries Inc..

Event Text Entries

[145772634] It was reported by end user that she developed urinary tract infection related to use of bladder control pads. Per report, the end user had been receiving bladder control pads since 2017 from her insurance and had never experienced infection related to use of these pads in the past. The end-user stated that for approximately a month, she used bladder control pads from a specific case (lot number unknown) and then she started developing itching and burning during urination. Per end user, she changes her bladder control pads every two hours. On (b)(6) 2019, the end-user reportedly went to a doctor who told her she has urinary tract infection and this was caused by the bladder control pads. The end-user took an unknown antibiotic for seven days and she stopped using the suspected bladder control pads. The end user reported that she is doing well right now. Due to the reported urinary tract infection and required medical intervention, this medwatch is being filed. The sample is not available to be returned for evaluation. The complaint could not be confirmed and a definitive root cause could not be determined at this time. No additional information is available. If additional information becomes available, a supplemental medwatch will be filed.
Patient Sequence No: 1, Text Type: N, H10


[145772635] It was reported by end user that she developed urinary tract infection related to use of bladder control pads.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1417592-2019-00050
MDR Report Key8508809
Date Received2019-04-12
Date of Report2019-04-12
Date of Event2019-03-14
Date Mfgr Received2019-03-21
Date Added to Maude2019-04-12
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 ContactBERMON PUNZALAN
Manufacturer StreetTHREE LAKES DRIVE
Manufacturer CityNORTHFIELD IL 60093
Manufacturer CountryUS
Manufacturer Postal60093
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Generic NameLINER,INCONTINENT,ULTRAPLUS,3.25"X13"
Product CodeEYQ
Date Received2019-04-12
Catalog NumberMSC327100Z
Lot NumberUNK
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE INDUSTRIES INC.
Manufacturer AddressTHREE LAKES DRIVE NORTHFIELD IL 60093 US 60093


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-04-12

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