FDA Adverse Event
Injury
Summary report: N
4X4,ISLAND DRESSING,STERILE 50/BX A50044
MDR report key: 25200178
·
Received May 18, 2026
Report
- Report Number
- MW5188292
- Event Type
- Injury
- Date Received
- May 18, 2026
- Date of Event
- April 20, 2026
- Report Date
- May 13, 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 FRESENIUS CUSTOMER SERVICE AND REPORTED THAT THE 4X4 ISLAND DRESSING FROM ORDER (B)(4) CAUSED ITCHING AND SKIN DISCOLORATION, AND THE PATIENT INDICATED USE OF ANTIBIOTIC CREAM TO MANAGE THE SYMPTOMS. NO 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 |
|---|---|---|---|---|---|---|---|
| 153218 | 4X4,ISLAND DRESSING,STERILE 50/BX A50044 | TAPE AND BANDAGE, ADHESIVE | KGX | AMD MEDICOM INC. | 16-0044-0 | 14718 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |