FDA Adverse Event Injury Summary report: N

NUTRIFILL

MDR report key: 23015319 · Received September 10, 2025

Report

Report Number
MW5175807
Event Type
Injury
Date Received
September 10, 2025
Date of Event
July 18, 2025
Report Date
September 4, 2025
Manufacturer
CONTAMAC SOLUTIONS, INC.
Product Code
MRC
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
FL, US
Reporter Occupation
PATIENT
Health Professional
*

Narratives

Description of Event or Problem · 0

COMPANY NAME: CONTAMAC SOLUTIONS, INC PRODUCT NAME: NUTRIFILL UNIQUE DEVICE IDENTIFIER (UDI): (B)(4) I PURCHASED MULTIPLE BOXES OF NUTRIFILL SOLUTION AND I HAVE USED THEM SINCE LAST YEAR. IN MAY I STARTED TO FEEL DISCOMFORT IN BOTH OF MY EYES. I EXPERIENCED REDNESS, BURNING SENSATION, DRYNESS AND IRRITATION. DURING MY EYE EXAM THE DOCTOR INFORMED ME THAT I HAD DEVELOPED EYE ULCERS THAT LEFT SCARS ON BOTH OF MY EYES. THE RIGHT EYE WAS MORE COMPROMISED THAN THE LEFT EYE. I WAS GIVEN STEROIDS TO TAKE FOR 10 DAYS. BASED ON THE LOCATION WHERE THE SCAR FORMED ON MY RIGHT EYE MY VISION WAS SIGNIFICANTLY IMPACTED. BASED ON THE DISTANCE TEST DONE ON MY RIGHT EYE MY VISION IS NOW 20/400.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2469460 NUTRIFILL PRODUCTS, CONTACT LENS CARE, RIGID GAS PERMEABLE MRC CONTAMAC SOLUTIONS, INC. HKK

Patients

Seq Age Sex Outcome Treatment
1 36 YR Female Required Intervention| S| O EXCEDRIN MIGRAINE.| SAM-E.