FDA Adverse Event
Injury
Summary report: N
NUTRIFILL
MDR report key: 22297683
·
Received June 20, 2025
Report
- Report Number
- 3016114779-2025-00025
- Event Type
- Injury
- Date Received
- June 20, 2025
- Date of Event
- January 9, 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 (B)(6) INDICATED THAT THEY HAD EXPERIENCED AN EXTREMELY RED AND BURNING EYE ON (B)(6) 2025. (B)(6) INDICATED THAT THEIR DOCTOR CONFIRMED AN ULCER AND PRESCRIBED MEDICATION DROPS. (B)(6) INDICATED THAT THEY SWITCHED FILLING SOLUTION AND HAVE NOT HAD ANY FURTHER ISSUES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1806957 | NUTRIFILL | NUTRIFILL | MRC | ASEPT PAK | HKK | 00850012123002 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |