inforMED
InjuryMKY

NI

Received Nov 8, 2023 · Event occurred Oct 16, 2023

Report 1416980-2023-05775 · MDR key 18094148

Device

Generic name

System, Skin Closure

Model number

NA

Catalog number

GEM204010-K

Lot number

ASKU

Product problems

  • Adverse Event Without Identified Device or Use Problem
  • Adverse Event Without Identified Device or Use Problem

Patient

66 YR · Female

  • Necrosis
  • Necrosis

Narrative

Additional Manufacturer Narrative

THE DEVICE WAS NOT RETURNED, AND THE LOT NUMBER IS UNKNOWN; THEREFORE, A DEVICE ANALYSIS COULD NOT BE COMPLETED. SHOULD ADDITIONAL RELEVANT INFORMATION BECOME AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

Description of Event or Problem

A PATIENT UNDERWENT A FASCIOTOMY ON THE LEFT FOREARM WITH TWO DERMACLOSE DEVICES. IT WAS REPORTED THAT 11 DAYS POST-OPERATIVE, THE PATIENT EXPERIENCED SKIN NECROSIS. IT WAS FURTHER REPORTED THE EVENT WAS DISCOVERED ¿AS A RESULT OF DERMACLOSE ANCHORS¿. THE CAUSE OF THE EVENT WAS NOT REPORTED. TREATMENT FOR THE EVENT WAS NOT REPORTED. AT THE TIME OF THIS REPORT, THE PATIENT OUTCOME WAS NOT REPORTED. NO ADDITIONAL INFORMATION IS AVAILABLE.