FDA Adverse Event
Injury
Summary report: N
AMD-RITMED 4X4, ISLAND DRESSING, STERILE 50/BX
MDR report key: 22131092
·
Received June 2, 2025
Report
- Report Number
- MW5170995
- Event Type
- Injury
- Date Received
- June 2, 2025
- Date of Event
- May 15, 2025
- Report Date
- May 28, 2025
- Manufacturer
- AMD-RITMED/ AMD MEDICOM INC.
- Product Code
- FRO
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- OTHER
- Health Professional
- *
Narratives
Description of Event or Problem · 0
A PERITONEAL DIALYSIS (PD) PATIENT CONTACTED FRESENIUS CUSTOMER SERVICE TO REPORT THE 16-0044-0 - 4X4, ISLAND DRESSING, STERILE 50/BX A50044. THE PATIENT STATED SHE HAD A SMALL REACTION TO THE ISLAND DRESSING AND WILL USE PAPER TAPE AND GAUZE AS HER REGISTERED NURSE SUGGESTED. THANK YOU. 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 |
|---|---|---|---|---|---|---|---|
| 361617 | AMD-RITMED 4X4, ISLAND DRESSING, STERILE 50/BX | DRESSING, WOUND, DRUG | FRO | AMD-RITMED/ AMD MEDICOM INC. | A50044 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |