MAUDE Adverse Event Report: SMITH & NEPHEW MEDICAL LTD. CUTICERIN 7.5X20CM CTN 10; TAPE AND BANDAGE, ADHESIVE

Model Number 66045563

Device Problem Missing Information (4053)

Patient Problems No Patient Involvement (2645); No Clinical Signs, Symptoms or Conditions (4582)

Event Date 10/16/2020

Event Type  malfunction  

Event Description

It was reported that the product is missing the expiration date and lot number, the part where this information normally is, is blank.No patient involved.

Manufacturer Narrative

H3, h6: the device, intended to be used in treatment, has been returned and evaluated.The returned carton confirmed that the expiration and lot details were missing, establishing a relationship with the reported event.The root cause remains undetermined.Further information requests for the lot number, contained on the inner pouches was not provided.Probable cause includes missed quality check, or a packaging printing error.A review of the associated batch manufacturing records could not be carried out as no batch/lot number was provided.A complaint history review found this to be an isolated event, at this time no further action is required.Smith + nephew will continue to monitor for any adverse trends relating to the reported allegation.

• Brand Name: CUTICERIN 7.5X20CM CTN 10
• Type of Device: TAPE AND BANDAGE, ADHESIVE
• Manufacturer (Section D): SMITH & NEPHEW MEDICAL LTD.; 101 hessle road; hull HU3 2 BN; UK HU3 2BN
• MDR Report Key: 10817736
• MDR Text Key: 215557764
• Report Number: 8043484-2020-03806
• Device Sequence Number: 1
• Product Code: KGX
• UDI-Device Identifier: 05000223450212
• UDI-Public: 05000223450212
• Combination Product (y/n): N
• PMA/PMN Number: EXEMPT
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: company representative,consum
• Type of Report: Initial,Followup
• Report Date: 04/27/2021

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Health Professional
• Device Model Number: 66045563
• Device Catalogue Number: 66045563
• Device Lot Number: UNKNOWN
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 03/19/2021
• Initial Date Manufacturer Received: 10/16/2020
• Initial Date FDA Received: 11/10/2020
• Supplement Dates Manufacturer Received: 04/15/2021
• Supplement Dates FDA Received: 04/27/2021
• Is This a Reprocessed and Reused Single-Use Device?: No
• Patient Sequence Number: 1