FDA Adverse Event
Other
Summary report: N
TRANSPORE-PLASTIC TRANS. TAPE 1¿X10YDS
MDR report key: 22797223
·
Received August 13, 2025
Report
- Report Number
- MW5174469
- Event Type
- Other
- Date Received
- August 13, 2025
- Date of Event
- August 1, 2025
- Report Date
- August 11, 2025
- Manufacturer
- 3M COMPANY/SOLVENTUM CORP.
- Product Code
- KGX
- Report Source
- Voluntary report
- Reporter Location
- MA, US
- Reporter Occupation
- PATIENT
- Health Professional
- *
Narratives
Description of Event or Problem · 0
A PERITONEAL DIALYSIS (PD) PATIENT'S WIFE CONTACTED (B)(6) CUSTOMER SERVICE TO REPORT THAT THE PLASTIC TAPE (16-1527-7) TEARS AND BURNS THE PATIENT'S SKIN. 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 |
|---|---|---|---|---|---|---|---|
| 1180103 | TRANSPORE-PLASTIC TRANS. TAPE 1¿X10YDS | TAPE AND BANDAGE, ADHESIVE | KGX | 3M COMPANY/SOLVENTUM CORP. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |