MAUDE Adverse Event Report: FERNDALE LABORATORIES, INC. MASTISOL LIQUID ADHESIVE; TAPE AND BANDAGE, ADHESIVE

Device Problem Device Markings/Labelling Problem (2911)

Patient Problem No Clinical Signs, Symptoms or Conditions (4582)

Event Description

Nozin nasal sanitizer and mastisol liquid adhesive look alike.Nozin should have barcode "taught" to electronic systems; ordered and charted on (b)(6) like other medications.(b)(4).

• Brand Name: MASTISOL LIQUID ADHESIVE
• Type of Device: TAPE AND BANDAGE, ADHESIVE
• Manufacturer (Section D): FERNDALE LABORATORIES, INC.
• MDR Report Key: 12780259
• MDR Text Key: 280712103
• Report Number: MW5105196
• Device Sequence Number: 1
• Product Code: KGX
• Combination Product (y/n): N
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Voluntary
• Reporter Occupation: Unknown
• Type of Report: Initial

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?: No
• Initial Date Manufacturer Received: Not provided
• Initial Date FDA Received: 11/08/2021
• Patient Sequence Number: 1