FDA Adverse Event
Injury
Summary report: N
ISLAND DRESSING
MDR report key: 20228390
·
Received September 13, 2024
Report
- Report Number
- MW5159635
- Event Type
- Injury
- Date Received
- September 13, 2024
- Report Date
- September 11, 2024
- Manufacturer
- UNKNOWN
- Product Code
- FRO
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MA, US
- Reporter Occupation
- OTHER
- Health Professional
- *
Narratives
Description of Event or Problem · 0
A PERITONEAL DIALYSIS (PD) PATIENT CONTACTED (B)(6) CUSTOMER SERVICE TO REPORT THE ISLAND DRESSING ITCHES AND IRRITATES HER SKIN, ACCORDING TO THE PATIENT THE OLD BRAND OF ISLAND DRESSING DID NOT BOTHER HER. THE PATIENT ORDERED ANOTHER BOX AS SHE NEEDS THEM FOR HER SITE. PRODUCT #: 16-2210-0. 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 |
|---|---|---|---|---|---|---|---|
| 1318403 | ISLAND DRESSING | DRESSING, WOUND, DRUG | FRO | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |