MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor report with the FDA on 2020-02-27 for LIQUIBAND EXCEED manufactured by Advanced Medical Solutions Limited.
[181479723]
"insufficient information provided and at this time we are unable to confirm if the device caused or contributed to a serious injury. If further information becomes available a follow-up report will be submitted. "
Patient Sequence No: 1, Text Type: N, H10
[181479724]
Skin reaction.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 9617175-2020-00015 |
| MDR Report Key | 9763393 |
| Report Source | DISTRIBUTOR |
| Date Received | 2020-02-27 |
| Date of Report | 2020-02-27 |
| Date Mfgr Received | 2020-02-07 |
| Date Added to Maude | 2020-02-27 |
| 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 Street | WESTERN WOOD WAY LANGAGE SCIENCE PARK |
| Manufacturer City | PLYMPTON, PL75BG |
| Manufacturer Country | UK |
| Manufacturer Postal | PL75BG |
| Manufacturer G1 | ADVANCED MEDICAL SOLUTIONS LIMITED |
| Manufacturer Street | WESTERN WOOD WAY LANGAGE SCIENCE PARK |
| Manufacturer City | PLYMPTON, PL75BG |
| Manufacturer Country | UK |
| Manufacturer Postal Code | PL75BG |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | LIQUIBAND EXCEED |
| Generic Name | TOPICAL SKIN ADHESIVE |
| Product Code | MPN |
| Date Received | 2020-02-27 |
| Device Availability | * |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ADVANCED MEDICAL SOLUTIONS LIMITED |
| Manufacturer Address | WESTERN WOOD WAY LANGAGE SCIENCE PARK PLYMPTON, PL75BG UK PL75BG |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2020-02-27 |