FDA Adverse Event
Injury
Summary report: N
AMD RITMED INC ISLAND DRESSING, 4" X 4
MDR report key: 22590121
·
Received July 24, 2025
Report
- Report Number
- MW5173249
- Event Type
- Injury
- Date Received
- July 24, 2025
- Report Date
- July 22, 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 ATTACHED 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 THE 4X4 ISLAND DRESSINGS WERE TEARING OFF SKIN WHEN REMOVING DRESSING. HAD TO WAIT TO SCAB OVER TO USE OTHER PRODUCTS. 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 |
|---|---|---|---|---|---|---|---|
| 988688 | AMD RITMED INC ISLAND DRESSING, 4" X 4 | TAPE AND BANDAGE, ADHESIVE | KGX | AMD MEDICOM INC. | A50044 | FD2407A01 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |