FDA Adverse Event Injury Summary report: N

AMD-RITMED 4X4, ISLAND DRESSING

MDR report key: 21244468 · Received January 27, 2025

Report

Report Number
MW5165313
Event Type
Injury
Date Received
January 27, 2025
Date of Event
January 14, 2025
Report Date
January 20, 2025
Manufacturer
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) PATIENT CONTACTED (B)(6) CUSTOMER SERVICE TO REPORT THAT HE IS ALLERGIC TO THE ISLAND DRESSINGS. HE DOES NOT REMEMBER WHEN THE FIRST REACTION OCCURRED OR WHEN WAS HIS LAST REACTION. WHEN HE USES THEM, HIS SKIN BECOMES ITCHY AND SWOLLEN. 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
1501999 AMD-RITMED 4X4, ISLAND DRESSING DRESSING, WOUND, DRUG FRO AMD MEDICOM INC. 9611

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown