FDA Adverse Event
Injury
Summary report: N
FLEXIBLE FABRIC EXTRA-LARGE BANDAGES
MDR report key: 14855651
·
Received June 28, 2022
Report
- Report Number
- MW5110593
- Event Type
- Injury
- Date Received
- June 28, 2022
- Date of Event
- June 22, 2022
- Report Date
- June 26, 2022
- Manufacturer
- UP&UP (TARGET BRAND) / TARGET GENERAL MERCHANDISE INC.
- Product Code
- KGX
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
I PURCHASED AND USED TARGET BRAND "UP&UP" FLEXIBLE FABRIC EXTRALARGE BANDAGES - 10 COUNT WITH CODES 245 07 0727 R01, IDC-000450-01-037, (B)(4) ON BOX. THE BANDAGES HAVE AN ADHESIVE WHICH IS TOO AGGRESSIVE AND RIPPED THE SKIN OFF MY ARM. I SAVED SOME OF THE BANDAGES AND A BOX IF THE FDA WANTS TO TEST IT. I HAVE PHOTOS AS WELL. I USED THE PRODUCT AS DIRECTED ON DRY SKIN. FDA SAFETY REPORT ID# (B)(4)
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 383421 | FLEXIBLE FABRIC EXTRA-LARGE BANDAGES | TAPE AND BANDAGE, ADHESIVE | KGX | UP&UP (TARGET BRAND) / TARGET GENERAL MERCHANDISE INC. | 245 07 0727 R01 | 00161937 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Prefer Not To Disclose | VASELINE |