FDA Adverse Event
Injury
Summary report: N
4X4, ISLAND DRESSING, STERILE 50/BX A50044/16-00440
MDR report key: 24052001
·
Received January 12, 2026
Report
- Report Number
- MW5182045
- Event Type
- Injury
- Date Received
- January 12, 2026
- Report Date
- December 30, 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
A PERITONEAL DIALYSIS (PD) PATIENT CONTACTED (B)(6) CUSTOMER SERVICE TO REPORT THAT THE 16-0044-0, 4X4, ISLAND DRESSING IRRITATES HER SKIN. "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 |
|---|---|---|---|---|---|---|---|
| 108288 | 4X4, ISLAND DRESSING, STERILE 50/BX A50044/16-00440 | TAPE AND BANDAGE, ADHESIVE | KGX | AMD MEDICOM INC. | 14720 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |