MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor,foreign report with the FDA on 2019-05-15 for DUODERM/GRANUFLEX/DUOACTIVE - MOISTURE RETENTIVE DUODERM CGF DRESSING 187987 manufactured by Convatec Ltd.
[145104395]
(b)(6). Based on the available information, this event is deemed to be a reportable malfunction. To date no additional information has been received. Should additional information become available, a follow-up report will be submitted. (b)(4).
Patient Sequence No: 1, Text Type: N, H10
[145104396]
It was reported the tube containing the product was punctured. The product was not used on or by a patient. A photograph depicting the reported complaint issue was provided by the complainant.
Patient Sequence No: 1, Text Type: D, B5
Report Number | 1000317571-2019-00065 |
MDR Report Key | 8611628 |
Report Source | DISTRIBUTOR,FOREIGN |
Date Received | 2019-05-15 |
Date of Event | 2019-05-01 |
Date Mfgr Received | 2019-07-22 |
Date Added to Maude | 2019-05-15 |
Event Key | 0 |
Report Source Code | Manufacturer report |
Manufacturer Link | Y |
Number of Patients in Event | 0 |
Adverse Event Flag | 3 |
Product Problem Flag | 3 |
Reprocessed and Reused Flag | 3 |
Health Professional | 0 |
Initial Report to FDA | 0 |
Report to FDA | 3 |
Event Location | 3 |
Manufacturer Contact | MS. JEANETTE JOHNSON |
Manufacturer Street | 7900 TRIAD CENTER DRIVE SUITE 400 |
Manufacturer City | GREENSBORO NC 27409 |
Manufacturer Country | US |
Manufacturer Postal | 27409 |
Manufacturer Phone | 3365424681 |
Manufacturer G1 | CONVATEC LTD |
Manufacturer Street | FIRST AVENUE DEESIDE INDUSTRIAL PARK |
Manufacturer City | DEESIDE, FLINTSHIRE CH5 2NU |
Manufacturer Country | UK |
Manufacturer Postal Code | CH5 2NU |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 3 |
Brand Name | DUODERM/GRANUFLEX/DUOACTIVE - MOISTURE RETENTIVE DUODERM CGF DRESSING |
Generic Name | DRESSING,WOUND,HYDROGEL W/OUT DRUG AND/OR BIOLOGIC |
Product Code | NAE |
Date Received | 2019-05-15 |
Model Number | 187987 |
Lot Number | 7L05547 |
Device Availability | N |
Device Age | DA |
Device Eval'ed by Mfgr | N |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | CONVATEC LTD |
Manufacturer Address | FIRST AVENUE DEESIDE INDUSTRIAL PARK DEESIDE, FLINTSHIRE CH5 2NU UK CH5 2NU |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 2019-05-15 |