BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MICROPORE-SURGICAL TAPE 1X10YDSMICROPORE-SURGICAL TAPE 1X10YDS

    MDR report key: 23568784 · Received November 17, 2025

    Report

    Report Number
    MW5178946
    Event Type
    Injury
    Date Received
    November 17, 2025
    Date of Event
    October 7, 2025
    Report Date
    November 13, 2025
    Manufacturer
    SOLVENTUM US LLC.
    Product Code
    KGX
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MA, US
    Reporter Occupation
    OTHER
    Health Professional
    *

    Narratives

    Description of Event or Problem · 0

    A PERITONEAL DIALYSIS (PD) PATIENT CONTACTED (B)(6) CUSTOMER SERVICE AND STATED THAT THE PAPER TAPE 16- 30SS-0 IRRITATED HIS SKIN AND DOES NOT NEED A REPLACEMENT. "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
    2882646 MICROPORE-SURGICAL TAPE 1X10YDSMICROPORE-SURGICAL TAPE 1X10YDS TAPE AND BANDAGE, ADHESIVE KGX SOLVENTUM US LLC. 16-30SS-0 33NLKA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown