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 |