FDA Adverse Event
Injury
Summary report: N
DURAPORE SILK TAPE
MDR report key: 21017995
·
Received December 26, 2024
Report
- Report Number
- MW5163841
- Event Type
- Injury
- Date Received
- December 26, 2024
- Date of Event
- December 11, 2024
- Report Date
- December 20, 2024
- Manufacturer
- 3M HEALTH CARE LTD.
- 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 REPORTED THAT THE SILK TAPE IS TOO HARSH ON HIS SKIN. THE ADHESIVE ON THE TAPE IS TOO STRONG. WHEN THE PATIENT RIPS IT OFF IT CAUSES HIM IRRITATION AND REDNESS. 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 |
|---|---|---|---|---|---|---|---|
| 80297 | DURAPORE SILK TAPE | TAPE AND BANDAGE, ADHESIVE | KGX | 3M HEALTH CARE LTD. | 106100075 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |