BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MICROPORE-PAPER TAPE

    MDR report key: 23316194 · Received October 16, 2025

    Report

    Report Number
    MW5177500
    Event Type
    Injury
    Date Received
    October 16, 2025
    Date of Event
    September 9, 2025
    Report Date
    October 6, 2025
    Manufacturer
    3M COMPANY
    Product Code
    KGX
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MA, US
    Reporter Occupation
    UNKNOWN
    Health Professional
    *

    Narratives

    Description of Event or Problem · 0

    A PERITONEAL DIALYSIS (PD) PATIENT CONTACTED (B)(6) CUSTOMER SERVICE REPORTING THAT THE 16-1535-0 MICROPORE-PAPER TAPE LEFT SOME IRRITATION IN 1 TO 2 SPOTS WHEN USING THE PRODUCT. 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
    2253279 MICROPORE-PAPER TAPE TAPE AND BANDAGE, ADHESIVE KGX 3M COMPANY 16-1535-0

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown