FDA Adverse Event
Injury
Summary report: N
AMD-RITMED 4X4, ISLAND DRESSING
MDR report key: 21436461
·
Received February 21, 2025
Report
- Report Number
- MW5166692
- Event Type
- Injury
- Date Received
- February 21, 2025
- Date of Event
- January 16, 2025
- Report Date
- February 14, 2025
- 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) NURSE ((B)(6)) CONTACTED (B)(6) CUSTOMER SERVICE TO REPORT THAT PATIENT (B)(6)) BREAKS OUT WITH RASH WHEN USING ISLAND DRESSING. 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 |
|---|---|---|---|---|---|---|---|
| 408541 | AMD-RITMED 4X4, ISLAND DRESSING | DRESSING, WOUND, DRUG | FRO | AMD- RITMED/AMD MEDICOM, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |