FDA Adverse Event
Injury
Summary report: N
16-1535-0, MICROPORE-PAPER TAPE 1X10YDS W/DISPENSER
MDR report key: 24278785
·
Received February 5, 2026
Report
- Report Number
- MW5183455
- Event Type
- Injury
- Date Received
- February 5, 2026
- Date of Event
- January 22, 2026
- Report Date
- February 3, 2026
- Manufacturer
- 3M COMPANY/SOLVENTUM
- 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 CUSTOMER SERVICE TO REPORT THAT SHE IS ALLERGIC TO THE MICROPORE-PAPER TAPE 1X10YDS W/DISPENSER. PATIENT DOES NOT HAVE ANYTHING TO RETURN. SHE DISCARDED THE TAPE. 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 |
|---|---|---|---|---|---|---|---|
| 336142 | 16-1535-0, MICROPORE-PAPER TAPE 1X10YDS W/DISPENSER | TAPE AND BANDAGE, ADHESIVE | KGX | 3M COMPANY/SOLVENTUM |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |