DEPEND UNDERGARMENTS MAXIMUM

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 2019-04-25 for DEPEND UNDERGARMENTS MAXIMUM manufactured by Kimberly-clark Corporation Cold Springs.

Event Text Entries

[143227344] A manufacturer lot code was not provided. With no means to ascertain the manufacturer/asset line and day of production, no further investigation on documents and supporting records can be performed.
Patient Sequence No: 1, Text Type: N, H10


[143227345] Consumer's spouse called to report that her husband put on a depend from a new package and the next morning, he developed a rash around his waist and two hours later the rash spread to his groin. He took off depend and took a shower. The rash was itchy with red hives and spread to his entire body. He went to er, his blood pressure was low due to dehydration from diarrhea and possibly from rash. He was given fluids, (b)(6) was given by mouth, methylprednisone (pf) was given as an injection, and he received intravenous fluids consisting of sodium chloride 0. 9% iv at the er and was discharged home six hours later. His symptoms improved but the hives returned two days later. He went to the er again and was admitted to the hospital for one night. He followed up with an allergist. The only allergy found was to brazil nuts. The rash has resolved and he was doing well now.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2184163-2019-00002
MDR Report Key8552750
Report SourceCONSUMER
Date Received2019-04-25
Date of Report2019-04-25
Date of Event2019-03-25
Date Mfgr Received2019-03-26
Date Added to Maude2019-04-25
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 ContactCHRIS MAERTZ
Manufacturer Street2100 WINCHESTER ROAD
Manufacturer CityNEENAH WI 54956
Manufacturer CountryUS
Manufacturer Postal54956
Manufacturer Phone9207214907
Manufacturer G1KIMBERLY-CLARK CORPORATION COLD SPRINGS
Manufacturer Street1050 COLD SPRING RD.
Manufacturer CityNEENAH WI 54956
Manufacturer CountryUS
Manufacturer Postal Code54956
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameDEPEND UNDERGARMENTS
Generic NameGARMENT, PROTECTIVE, FOR INCONTINENCE
Product CodeEYQ
Date Received2019-04-25
Model NumberMAXIMUM
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerKIMBERLY-CLARK CORPORATION COLD SPRINGS
Manufacturer Address1050 COLD SPRING RD. NEENAH WI 54956 US 54956


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Other 2019-04-25

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