FDA Adverse Event
Injury
Summary report: N
4" X 4 50/BX
MDR report key: 23479433
·
Received November 5, 2025
Report
- Report Number
- MW5178559
- Event Type
- Injury
- Date Received
- November 5, 2025
- Date of Event
- October 8, 2025
- Report Date
- November 4, 2025
- Manufacturer
- AMD-RITMED / AMD MEDICOM
- 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 FRESENIUS CUSTOMER SERVICE TO REPORT THAT THE ISLAND DRESSING TAPE IRRITATES HIS SKIN. NO NEW ORDER IS NEEDED AS PATIENT STATED HE WILL NOT CONTINUE TO USE THE ISLAND DRESSING TAPE. THERE WAS PATIENT INVOLVEMENT, AND ADVERSE EVENT WAS REPORTED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2280903 | 4" X 4 50/BX | TAPE AND BANDAGE, ADHESIVE | KGX | AMD-RITMED / AMD MEDICOM | 16-0044-0 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |