inforMED
InjuryFHA

INCONTINENCE CLAMP

Received May 6, 2022 · Event occurred Apr 11, 2022

Report 1018233-2022-03390 · MDR key 14310738

Device

Generic name

Cunningham Clamp

Model number

004053

Catalog number

004054

Lot number

UNK

Product problems

  • Patient Device Interaction Problem
  • Patient Device Interaction Problem

Patient

Male

  • Skin Inflammation/ Irritation
  • Skin Inflammation/ Irritation

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THE CUNNINGHAM CLAMP RUBBED A SPOT ONTO THE PATIENT. NO MEDICAL INTERVENTION WAS REPORTED. PER FOLLOW UP RECEIVED ON 11APR2022, IT WAS STATED THAT THE CUNNINGHAM CLAMP RUBBED A SORE ON THE SHAFT. IT WAS STATED THAT THERE WOUND WAS THERE FOR 3 WEEKS. THIS WAS THE SECOND TIME THAT THIS HAD HAPPENED. DOCTOR PRESCRIBED MEDICATION FOR THE WOUND AND ADVISED CUSTOMER TO PAD THE PATIENT PENIS WITH GAUZE TO HELP WITH CHAFING. CUSTOMER WAS ALSO SENT A LARGER SIZE WITH THE SAME RESULTS .

Additional Manufacturer Narrative

THE INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE A SUPPLEMENTAL REPORT WILL BE FILED. THE DEVICE WAS NOT RETURNED.

Additional Manufacturer Narrative

THE REPORTED EVENT WAS INCONCLUSIVE BECAUSE NO SAMPLE WAS RETURNED. IT WAS UNKNOWN WHETHER THE DEVICE HAD MET RELEVANT SPECIFICATIONS. THE PRODUCT WAS USED FOR TREATMENT PURPOSES. IT WAS UNKNOWN WHETHER THE PRODUCT HAD CAUSED THE REPORTED FAILURE. A POTENTIAL ROOT CAUSE FOR THIS FAILURE COULD BE "MATERIAL DEFECT OR INCORRECT MATERIAL SPECIFICATION". THE LOT NUMBER IS UNKNOWN; THEREFORE, THE DEVICE HISTORY RECORD COULD NOT BE REVIEWED. THE INSTRUCTIONS FOR USE WERE FOUND ADEQUATE AND STATE THE FOLLOWING: ¿DIRECTION FOR EASY ADJUSTMENT TO GIVE PROPER FIT AND COMFORT 1. A VERY LIGHT PRESSURE ON THE URETHRAL CANAL ON THE UNDERSIDE OF THE PENIS WILL PREVENT ANY LEAKAGE. 2. THE NECESSARY PRESSURE IS ACHIEVED BY THE HUMP IN THE UNDER PART OF THE CUNNINGHAM CLAMP. 3. FOR PROPER FIT AND COMFORT THE UPPER PART OF THE CLAMP CAN BE EASILY SHAPED BY THE FINGERS. 4. EXACT ADJUSTMENT OF PRESSURE IS ACHIEVED BY THE RATCHET CATCH ON THE REGULAR AND LARGE SIZES AND THE ADJUSTABLE SNAP BUTTON ON THE JUVENILE SIZE. TO RELEASE THE CATCH ON THE REGULAR AND LARGE SIZES, MERELY PRESS INWARD ON BOTH THE SPRING WIRE LOOPS.¿ H11: SECTION A THROUGH F - THE INFORMATION PROVIDED BY BD REPRESENTS ALL THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT / REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO BD. H3 OTHER TEXT : THE DEVICE WAS NOT RETURNED.

Description of Event or Problem

IT WAS REPORTED THAT THE CUNNINGHAM CLAMP RUBBED A SPOT ONTO THE PATIENT. NO MEDICAL INTERVENTION WAS REPORTED. PER FOLLOW UP RECEIVED ON 11APR2022, IT WAS STATED THAT THE CUNNINGHAM CLAMP RUBBED A SORE ON THE SHAFT. IT WAS STATED THAT THERE WOUND WAS THERE FOR 3 WEEKS. THIS WAS THE SECOND TIME THAT THIS HAD HAPPENED. DOCTOR PRESCRIBED MEDICATION FOR THE WOUND AND ADVISED CUSTOMER TO PAD THE PATIENT PENIS WITH GAUZE TO HELP WITH CHAFING. CUSTOMER WAS ALSO SENT A LARGER SIZE WITH THE SAME RESULTS .