BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MICROPORE-PAPER TAPE 1X10YDS W/DISPENSER

    MDR report key: 22819302 · Received August 15, 2025

    Report

    Report Number
    MW5174664
    Event Type
    Injury
    Date Received
    August 15, 2025
    Date of Event
    July 31, 2025
    Report Date
    August 13, 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 FRESENIUS CUSTOMER SERVICE STATING HE IS USING THE 16-1535-0, MICROPORE-PAPER TAPE 1X10 YARDS WITH/DISPENSER IS LEAVING BLISTERS ON HIS AREA. 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
    1628407 MICROPORE-PAPER TAPE 1X10YDS W/DISPENSER TAPE AND BANDAGE, ADHESIVE KGX 3M COMPANY (MODEL NUMBER16-1535-0)

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown