FDA Adverse Event
Injury
Summary report: N
AMD-RITMED 4X4, ISLAND DRESSING
MDR report key: 20811498
·
Received November 27, 2024
Report
- Report Number
- MW5162984
- Event Type
- Injury
- Date Received
- November 27, 2024
- Date of Event
- October 28, 2024
- Report Date
- November 26, 2014
- Manufacturer
- AMD- RITMED/AMD MEDICOM, INC,
- 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
A PERITONEAL DIALYSIS (PD) REGISTERED NURSE CONTACTED (B)(6) CUSTOMER SERVICE TO REPORT THAT THE PATIENT HAS CONTACT DERMATITIS FROM THE 4X4, ISLAND DRESSING, STERILE 50/BX A50044 THAT IS MANUFACTURED BY (B)(4). THE NURSE DOES NOT HAVE THE LOT OR EXPIRATION DATE OF THE PRODUCT. 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 |
|---|---|---|---|---|---|---|---|
| 304593 | AMD-RITMED 4X4, ISLAND DRESSING | DRESSING, WOUND, DRUG | FRO | AMD- RITMED/AMD MEDICOM, INC, |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |