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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: 3M HEALTH CARE 3M¿ STERI-STRIP¿ REINFORCED SKIN CLOSURES; STERI-STRIP SKIN CLOSURES
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3M HEALTH CARE 3M¿ STERI-STRIP¿ REINFORCED SKIN CLOSURES; STERI-STRIP SKIN CLOSURES Back to Search Results
Model Number N/A
Medical Device Problem Code Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code Skin Erosion (2075)
Date of Event 02/19/2019
Type of Reportable Event Serious Injury
Additional Manufacturer Narrative
Patient information: information was not provided.Lot #: the product lot number was unknown.
 
Event or Problem Description
A hospital in france (b)(6) r1547 3m¿ steri-strip¿ reinforced skin closures were applied to a patient's incision following an abdominoplasty.The hospital alleged the patient experienced a phlycten (blister) and desepidermization.The steri-strip¿ reinforced skin closures were reportedly difficult to remove.The patient allegedly required a prolonged hospitalization for observation.
 
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Brand Name
3M¿ STERI-STRIP¿ REINFORCED SKIN CLOSURES
Common Device Name
STERI-STRIP SKIN CLOSURES
Manufacturer (Section D)
3M HEALTH CARE
2510 conway ave
st. paul MN 55144
MDR Report Key8433112
Report Number2110898-2019-00041
Device Sequence Number19240928
Product Code KGX
UDI-Device Identifier30707387023646
UDI-Public30707387023646
Combination Product (Y/N)N
Initial Reporter CountryFR
PMA/510(K) Number
EXEMPT
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source foreign,health professional,o
Initial Reporter Occupation Other
Type of Report Initial
Report Date (Section B) 03/19/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Operator of Device Health Professional
Device Model NumberN/A
Device Catalogue NumberR1547
Was Device Available for Evaluation? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/22/2019
Initial Report FDA Received Date03/19/2019
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)		 No
Patient Sequence Number1
Outcome Attributed to Adverse Event Hospitalization;
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