BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SPORTS TAPE

    MDR report key: 22062843 · Received May 21, 2025

    Report

    Report Number
    MW5170682
    Event Type
    Injury
    Date Received
    May 21, 2025
    Date of Event
    May 17, 2025
    Report Date
    May 18, 2025
    Manufacturer
    KT HEALTH, LLC
    Product Code
    FQM
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    DE, US
    Reporter Occupation
    PATIENT
    Health Professional
    *

    Narratives

    Description of Event or Problem · 0

    KTTAPE ELASTIC SPORTS TAPE RAISED BLISTERS ON MY SKIN WITH ONE APPLICATION OF THE TAPE. THE LOT NUMBER IS STSB220620M-D03.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    2366785 SPORTS TAPE BANDAGE, ELASTIC FQM KT HEALTH, LLC STSB220620M-D03

    Patients

    Seq Age Sex Outcome Treatment
    1 67 YR Male Other