BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MICROPORE-PAPER TAPE 1X10YDS W/DISPENSER

    MDR report key: 23726776 · Received December 4, 2025

    Report

    Report Number
    MW5179955
    Event Type
    Injury
    Date Received
    December 4, 2025
    Report Date
    November 26, 2025
    Manufacturer
    3M COMPANY
    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

    PERITONEAL DIALYSIS (PD) PATIENT CONTACTED (B)(6) TECHNICAL SUPPORT TO REPORT A 16-1535-0 - MICROPORE-PAPER TAPE 1X10YDS W/DISPENSER. THE PATIENT CALLED AND STATED SHE HAS A REACTION TO THE PAPER TAPE. THE PATIENT HAS A REACTION WITH RED BUMPS AND IRRITATION. THERE WAS PATIENT INVOLVEMENT, RED BUMPS AND IRRITATION WAS REPORTED. 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
    2846038 MICROPORE-PAPER TAPE 1X10YDS W/DISPENSER TAPE AND BANDAGE, ADHESIVE KGX 3M COMPANY

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown