FDA Adverse Event
Injury
Summary report: N
AMD-RITMED 4X4
MDR report key: 21143306
·
Received January 10, 2025
Report
- Report Number
- MW5164599
- Event Type
- Injury
- Date Received
- January 10, 2025
- Date of Event
- November 14, 2024
- Report Date
- January 8, 2025
- Manufacturer
- AMD- RITMED/AMD MEDICOM, INC.
- Product Code
- NAD
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- UNKNOWN
- Health Professional
- *
Narratives
Description of Event or Problem · 0
THE PRODUCT LISTED IN THIS COMPLAINT IS A DISTRIBUTED PRODUCT. A LETTER HAS BEEN SENT TO BOTH THE CUSTOMER AND THE MANUFACTURER REGARDING THIS ISSUE. THE MANUFACTURER WILL FOLLOW UP WITH THE CUSTOMER FOR FURTHER INVESTIGATION. 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 |
|---|---|---|---|---|---|---|---|
| 2212052 | AMD-RITMED 4X4 | DRESSING, WOUND, OCCLUSIVE | NAD | AMD- RITMED/AMD MEDICOM, INC. | 10941 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |