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