MEPILEX AG 287100

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2019-04-26 for MEPILEX AG 287100 manufactured by Molnlycke Healthcare.

Event Text Entries

[143389038] A report was received that a suspected burn wound infection and worsening in the wound status required a pediatric patient to be re-admitted to hospital for 6 days and successfully treated with systemic oral antibacterial treatment. The wound had been very close to being healed when the dressing was reapplied by the nurse at the end of the previoa report was received that a suspected burn wound infection and worsening in the wound status required a pediatric patient to be re-admitted to hospital for 6 days and successfully treated with systemic oral antibacterial treatment. The wound had been very close to being healed when the dressing was reapplied by the nurse at the end of the previous week. The nurse stated the dressing was used in accordance with the instructions for use and the patient had no prior history of similar issues. Request has been made for additional information.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3004763499-2019-00005
MDR Report Key8558490
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2019-04-26
Date of Report2019-03-27
Date of Event2019-03-27
Date Mfgr Received2019-03-27
Date Added to Maude2019-04-26
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 ContactMS PAT STRAHL
Manufacturer Street5550 PEACHTREE PARKWAY SUITE 500
Manufacturer CityNORCROSS GA 30092
Manufacturer CountryUS
Manufacturer Postal30092
Manufacturer Phone4043750171
Manufacturer G1MOLNLYCKE HEALTHCARE
Manufacturer Street5550 PEACHTREE PARKWAY SUITE 500
Manufacturer CityNORCROSS GA 30092
Manufacturer CountryUS
Manufacturer Postal Code30092
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameMEPILEX AG
Generic NameWOUND DRESSING
Product CodeNAC
Date Received2019-04-26
Model Number287100
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMOLNLYCKE HEALTHCARE
Manufacturer Address5550 PEACHTREE PARKWAY SUITE 500 NORCROSS GA 30092 US 30092


Patients

Patient NumberTreatmentOutcomeDate
101. Other; 2. Deathisabilit 2019-04-26

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