FDA Adverse Event
Injury
Summary report: N
4X4,ISLAND DRESSING,STERILE 50/BX
MDR report key: 22955795
·
Received September 3, 2025
Report
- Report Number
- MW5175594
- Event Type
- Injury
- Date Received
- September 3, 2025
- Date of Event
- August 15, 2025
- Report Date
- August 28, 2025
- Manufacturer
- RITMED
- 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 (B)(6) CUSTOMER SERVICE TO REPORT THAT THE 4X4, ISLAND DRESSING, STERILE 50/BX (B)(6) MADE HER HAVE BAD SKIN IRRITATION. NO FURTHER INFORMATION WAS PROVIDED. 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 |
|---|---|---|---|---|---|---|---|
| 2132507 | 4X4,ISLAND DRESSING,STERILE 50/BX | TAPE AND BANDAGE, ADHESIVE | KGX | RITMED | 16-0044-0 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |