ADHESIVE PAD

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-01-24 for ADHESIVE PAD manufactured by Unk.

Event Text Entries

[176684697] Pt reports mckesson adhesive pad burned and broke her skin.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5092534
MDR Report Key9632505
Date Received2020-01-24
Date of Report2020-01-24
Date of Event2020-01-01
Date Added to Maude2020-01-27
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameADHESIVE PAD
Generic NameTAPE AND BANDAGE, ADHESIVE
Product CodeKGX
Date Received2020-01-24
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2020-01-24

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