FDA Adverse Event Injury Summary report: N

BANDAGE KIT, COMPRESSION COMPRI2 LITE 9 3/4IN X 12 1/2IN

MDR report key: 25318454 · Received May 28, 2026

Report

Report Number
MW5188662
Event Type
Injury
Date Received
May 28, 2026
Date of Event
April 10, 2026
Report Date
April 10, 2026
Manufacturer
BSN MEDICAL, INC.
Product Code
FQM
UDI-DI
04042809506679
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
IA, US
Reporter Occupation
PHARMACIST
Health Professional
Yes

Narratives

Description of Event or Problem · 0

REPORT: (B)(4): LLT CODES: 10069327:PRODUCT QUALITY ISSUE I NARRATIVE: PRODUCT PROBLEM: VETERAN REPORTED TO NURSE THAT THE LAST 2 SHIPMENTS OF COMPRI2 LITE COMPRESSION WRAPS HAVE SMELLED MOLDY WHEN THEY OPEN THE BOX. HE SAYS THEY DON'T LOOK MOLDY, BUT THE SMELL IS NOTICEABLE ESPECIALLY WHEN OPENING THE WHITE WRAP. HE REPORTED HE USED ONE OF THE SET BUT IT CAUSED ITCHING AND INFLAMMATION SO HE REMOVED IT. PHARMACY WILL SEND REPLACEMENT SUPPLY AS REQUESTED. PATIENT HAS USED THIS SUPPLY ITEM SINCE 2025. NO PRIOR COMPLAINTS RECEIVED WITHIN PHARMACY. DIAGNOSIS FOR USE: COMPLEX SIG ORDER (PROD 1): USE BANDAGE TOPICALLY EVERY 96 HOURS FOR COMPRESSION. PT: 1943, 1932. DEVICE: 2969, 1425. REF: MW5188663.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
536066 BANDAGE KIT, COMPRESSION COMPRI2 LITE 9 3/4IN X 12 1/2IN BANDAGE, ELASTIC FQM BSN MEDICAL, INC. 540264 04042809506679

Patients

Seq Age Sex Outcome Treatment
1 65 YR Male