FDA Adverse Event
Injury
Summary report: N
4X4, ISLAND DRESSING, STERILE 50/BX
MDR report key: 25015282
·
Received April 27, 2026
Report
- Report Number
- MW5187345
- Event Type
- Injury
- Date Received
- April 27, 2026
- Report Date
- April 22, 2026
- 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 ISLAND DRESSING IRRITATES HIS SKIN. THERE WAS PATIENT INVOLVEMENT, AND ADVERSE EVENT WAS REPORTED. 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 |
|---|---|---|---|---|---|---|---|
| 1055109 | 4X4, ISLAND DRESSING, STERILE 50/BX | TAPE AND BANDAGE, ADHESIVE | KGX | AMD MEDICOM INC | 16-0044-0 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |