FDA Adverse Event Injury Summary report: N

OPTIFOAM GENTLE EX

MDR report key: 24504964 · Received March 4, 2026

Report

Report Number
3004022422-2026-00001
Event Type
Injury
Date Received
March 4, 2026
Date of Event
January 1, 2026
Report Date
March 4, 2026
Manufacturer
MEDLINE INDUSTRIES LP
Product Code
NAD
UDI-DI
10888277652651
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

MEDLINE INDUSTRIES, LP, AS THE MANUFACTURER, HAS ALREADY REPORTED THE ADVERSE EVENT (MRF. REPORT #:1417592-2026-00104). SHANGHAI ISO MEDICAL PRODUCTS CO., LTD., AS THE CONTRACT MANUFACTURER, HAS COOPERATED WITH THE CUSTOMER IN THE INVESTIGATION. WE ARE CONDUCTING AN INVESTIGATION AND WILL TAKE CORRECTIVE AND PREVENTIVE MEASURES IF NECESSARY.

Description of Event or Problem · 0

CUSTOMER INFORMED AND REPORTED THAT HE HAD AN ALLERGIC REACTION TO FOAM DRESSING. CUSTOMER INFORMED HE GOT BLISTERS AND OPEN SORES.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
573637 OPTIFOAM GENTLE EX OPTIFOAM GENTLE EX, SACRUM,7X7, NAD MEDLINE INDUSTRIES LP RX14725 10888277652651

Patients

Seq Age Sex Outcome Treatment
1 72 YR Male Other