UNIVERSAL REMOVER WIPES 7300

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a foreign,health professional report with the FDA on 2019-05-21 for UNIVERSAL REMOVER WIPES 7300 manufactured by Hollister Incorporated.

Event Text Entries

[145678079] User does not know the lot number and does not have the wipes so dhr review and sample evaluation is not possible. Trend data reviewed and no other report of a fire could be found. The box and packets of wipes both have the highly flammable words and symbol on it. The ifu specifically states: flammable: no smoking. Do not use near flame or any incandescent material, electrical appliance or source of heat. Keep away from sources of ignition. End user's weight is not known so an estimation was used in this medwatch. The exact electronic cutter device is not known.
Patient Sequence No: 1, Text Type: N, H10


[145678080] It was reported that a universal remover wipe had been used to remove tape from a patient's neck. The doctor then used an electronic cutter device somewhere which led to a fire. The fire burned the patient's face. No information is available about the extent of the burn or treatment provided.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1480288-2019-00001
MDR Report Key8628904
Report SourceFOREIGN,HEALTH PROFESSIONAL
Date Received2019-05-21
Date of Report2019-05-21
Date of Event2019-04-26
Date Mfgr Received2019-05-11
Date Added to Maude2019-05-21
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. LINDA WISOWATY
Manufacturer Street2000 HOLLISTER DRIVE
Manufacturer CityLIBERTYVILLE. IL 600483781
Manufacturer CountryUS
Manufacturer Postal600483781
Manufacturer Phone8476802170
Manufacturer G1ACUPAC PACKAGING INC
Manufacturer Street55 RAMAPO VALLEY RD
Manufacturer CityMAHWAH NJ 07430
Manufacturer CountryUS
Manufacturer Postal Code07430
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUNIVERSAL REMOVER WIPES
Generic NameUNIVERSAL REMOVER WIPES
Product CodeKOX
Date Received2019-05-21
Catalog Number7300
Lot NumberUNKNOWN
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerHOLLISTER INCORPORATED
Manufacturer Address2000 HOLLISTER DRIVE LIBERTYVILLE. 600483781 US 600483781


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2019-05-21

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.