BEUDAMED
    FDA Adverse Event Injury Summary report: N

    3M MICROPORE SURGICAL TAPE

    MDR report key: 21732779 · Received March 31, 2025

    Report

    Report Number
    MW5168440
    Event Type
    Injury
    Date Received
    March 31, 2025
    Date of Event
    February 7, 2025
    Report Date
    March 27, 2025
    Manufacturer
    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 CONTACTED (B)(6) CUSTOMER SERVICE TO REPORT THAT THE 16-1527-7, TRANSPORE-PLASTIC TRANS. TAPE IRRITATES HIS SKIN. THE PRODUCT WAS GIVEN TO THE PATIENT BY A NURSE. THERE IS NO (B)(6) ORDER NUMBER. 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
    1166250 3M MICROPORE SURGICAL TAPE TAPE AND BANDAGE, ADHESIVE KGX 3M COMPANY

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown