FDA Adverse Event
Injury
Summary report: N
AMD RITMED INC DRESSING (TRANSPARENT / ISLAND) - ISLAND DRESSING, 4" X 4" WITH 2
MDR report key: 21892311
·
Received April 23, 2025
Report
- Report Number
- MW5169469
- Event Type
- Injury
- Date Received
- April 23, 2025
- Report Date
- April 21, 2025
- Manufacturer
- AMD MEDICOM INC.
- Product Code
- KGX
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MA, US
- Reporter Occupation
- UNKNOWN
- Health Professional
- *
Narratives
Description of Event or Problem · 0
PLEASE NOTE THE COMPLAINT INVOLVES A DEVICE ASSOCIATED WITH AN ADVERSE EVENT THAT IS NOT MANUFACTURED BY (B)(6). A PERITONEAL DIALYSIS (PD) PATIENT CONTACTED (B)(6) CUSTOMER SERVICE TO REPORT A COMPLAINT REGARDING THE 4X4, ISLAND DRESSING, STERILE 50/BX A50044. PATIENT CALLED TO STATE THE ADHESIVE ON THE ISLAND DRESSING MADE BY RIT MED (A50044) AND PETRO PACIFICA MANUFACTURER IS TOO STRONG AND IS TEARING THE PATIENT'S SKIN. NO LOT/EXP DATE ON BOXES. PATIENT FIRST GOT THESE MANUFACTURERS 2/10. THE ONE THAT THE PATIENT LIKES ARE #44258 MADE BY MEDICAL ACTION. THE PATIENT INVOLVEMENT IS 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 |
|---|---|---|---|---|---|---|---|
| 560656 | AMD RITMED INC DRESSING (TRANSPARENT / ISLAND) - ISLAND DRESSING, 4" X 4" WITH 2 | TAPE AND BANDAGE, ADHESIVE | KGX | AMD MEDICOM INC. | A50044 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |