FDA Adverse Event
Injury
Summary report: N
DURAPORE SILK TAPE
MDR report key: 21398861
·
Received February 18, 2025
Report
- Report Number
- MW5166336
- Event Type
- Injury
- Date Received
- February 18, 2025
- Report Date
- February 12, 2025
- Manufacturer
- 3M HEALTH CARE LTD. / 3M COMPANY
- Product Code
- KGX
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Occupation
- UNKNOWN
- Health Professional
- *
Narratives
Description of Event or Problem · 0
A PERITONEAL DIALYSIS (PD) PATIENT (B)(6), CONTACTED (B)(6) CUSTOMER SERVICE TO REPORT THAT THE ISLAND DRESSING 16-0044-0 WAS CAUSING HER TO ITCH, STATED IT MAKES HER SKIN VERY ITCH. THE PATIENT ALSO STATED THAT THE DURAPORE SILK TAPE 16-3616-6 WAS GIVING HER A RASH AND IT BURNS THE SKIN AND WAS CAUSING HER DISCOMFORT. 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 |
|---|---|---|---|---|---|---|---|
| 1387913 | DURAPORE SILK TAPE | TAPE AND BANDAGE, ADHESIVE | KGX | 3M HEALTH CARE LTD. / 3M COMPANY |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |