FDA Adverse Event
Other
Summary report: N
IODOSORB
MDR report key: 20312312
·
Received September 25, 2024
Report
- Report Number
- MW5160142
- Event Type
- Other
- Date Received
- September 25, 2024
- Date of Event
- September 23, 2024
- Report Date
- September 23, 2024
- Manufacturer
- UNKNOWN
- Product Code
- KOZ
- Report Source
- Voluntary report
- Reporter Location
- US
- Reporter Occupation
- UNKNOWN
- Health Professional
- *
Narratives
Description of Event or Problem · 0
DID NOT WORK FOR THE PATIENT. PAE REPORTED BY HCPO, NO CONSENT TO FOLLOW UP. NO FURTHER INFORMATION/CLARIFICATION AVAILABLE. (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1052914 | IODOSORB | BEADS, HYDROPHILIC, FOR WOUND EXUDATE ABSORPTION | KOZ | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |