FDA Adverse Event
Injury
Summary report: N
NUTRIFILL
MDR report key: 22297116
·
Received June 20, 2025
Report
- Report Number
- 3016114779-2025-00020
- Event Type
- Injury
- Date Received
- June 20, 2025
- Report Date
- June 20, 2025
- Manufacturer
- ASEPT PAK
- Product Code
- MRC
- UDI-DI
- 00850012123002
- PMA / PMN Number
- K181566
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CO, US
- Reporter Occupation
- 003
Narratives
Description of Event or Problem · 0
PATIENT SM INDICATED THAT THEY HAD RECENTLY EXPERIENCED SEVERAL EYE ISSUES AND HAD VISITED THEIR DOCTOR TWICE DUE TO EYE INFECTIONS. RED EYE/LIGHT SENSITIVITY TREATED FOR AN ABRASION INITIALLY AND THEN FOR "DRY IRRITATED EYES" AND WAS PRESCRIBED ANTIBIOTICS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1669814 | NUTRIFILL | NUTRIFILL | MRC | ASEPT PAK | HGI | 00850012123002 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |