FDA Adverse Event
Injury
Summary report: N
MICROPORE-SURGICAL TAPE 1X10YDS
MDR report key: 24647696
·
Received March 19, 2026
Report
- Report Number
- MW5185406
- Event Type
- Injury
- Date Received
- March 19, 2026
- Report Date
- March 12, 2026
- Manufacturer
- 3M/ SOLVENTUM US LLC
- 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
COMPLAINT: A PERITONEAL DIALYSIS PATIENT REPORTED SHE'S ALLERGIC TO THE PAPER TAPE. IT CAUSES HER SKIN TO BE IRRITATED AND ITCHY. THE REACTION FIRST HAPPENED WHEN SHE FIRST STARTED DIALYSIS. SHE HAS NOT ORDER THEM SINCE THEN BUT NEVER REPORTED THE ALLERGY TO US. THERE WAS PATIENT INVOLVEMENT; HOWEVER, THERE WAS NO HARM OR ADVERSE EVENT 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 |
|---|---|---|---|---|---|---|---|
| 702793 | MICROPORE-SURGICAL TAPE 1X10YDS | TAPE AND BANDAGE, ADHESIVE | KGX | 3M/ SOLVENTUM US LLC |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |