FDA Adverse Event
Injury
Summary report: N
AMD-RITMED 4X4 ISLAND DRESSING, STERILE
MDR report key: 20915796
·
Received December 11, 2024
Report
- Report Number
- MW5163572
- Event Type
- Injury
- Date Received
- December 11, 2024
- Date of Event
- October 21, 2024
- Report Date
- December 10, 2024
- Manufacturer
- AMD-RITMED, INC.
- Product Code
- FRO
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- TX, US
- Reporter Occupation
- UNKNOWN
- Health Professional
- *
Narratives
Description of Event or Problem · 0
A PERITONEAL DIALYSIS (PD) PATIENT CONTACTED FRESENIUS CUSTOMER SERVICE TO REPORT AN ISSUE AGAINST THE 4X4, ISLAND DRESSING, STERILE 50/BX A50044. THE PATIENT RONALD WAS STATING THAT 4X4 ISLAND DRESSING CAUSES RASH ON SKIN. THE PATIENT INVOLVEMENT WAS UNKNOWN, HOWEVER THERE WAS NO HARM OR ADVERSE EVENT REPORTED. 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 |
|---|---|---|---|---|---|---|---|
| 2377027 | AMD-RITMED 4X4 ISLAND DRESSING, STERILE | DRESSING, WOUND, DRUG | FRO | AMD-RITMED, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |