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 |