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