FDA Adverse Event
Injury
Summary report: N
AMD RITMED INC. ISLAND DRESSING,STERILE 50/BX
MDR report key: 21987577
·
Received May 8, 2025
Report
- Report Number
- MW5170121
- Event Type
- Injury
- Date Received
- May 8, 2025
- Date of Event
- April 22, 2025
- Report Date
- May 6, 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
A PERITONEAL DIALYSIS (PD) PATIENT CONTACTED FRESENIUS CUSTOMER SERVICE TO REPORT AN ISSUE AGAINST THE 4X4, ISLAND DRESSING, STERILE 50/BX A50044. THE PATIENT WAS ASKING IF WE HAVE A DRESSING THAT IS HYPOALLERGENIC, BUT WAS ADVISED NO, AND STATED THAT THE ISLAND DRESSING RECEIVED ON ORDER #(B)(4) DELIVERY NOTE #(B)(4) DELIVERED ON (B)(6) 2025 IS IRRITATING AND BURNING HER SKIN. THERE WAS PATIENT INVOLVEMENT, AND A 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 |
|---|---|---|---|---|---|---|---|
| 346496 | AMD RITMED INC. ISLAND DRESSING,STERILE 50/BX | TAPE AND BANDAGE, ADHESIVE | KGX | AMD MEDICOM INC. | A50044 | 12870 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |