FDA Adverse Event Other Summary report: N

4X4, ISLAND DRESSING, STERILE

MDR report key: 20211665 · Received September 12, 2024

Report

Report Number
MW5159557
Event Type
Other
Date Received
September 12, 2024
Report Date
September 9, 2024
Manufacturer
UNK
Product Code
FRO
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
MA, US
Reporter Occupation
UNKNOWN
Health Professional
*

Narratives

Description of Event or Problem · 0

IT WAS REPORTED TO (B)(6) MEDICAL CARE THAT THESE DRESSING ARE TEARING THE SKIN WHEN WE USE TO REMOVE THEM FROM CVC SITE. THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1112382 4X4, ISLAND DRESSING, STERILE DRESSING, WOUND, DRUG FRO UNK A50044 9611

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown