BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MICROPORE-PAPER TAPE 1X10YDS W/DISPENSER

    MDR report key: 25014932 · Received April 27, 2026

    Report

    Report Number
    MW5187334
    Event Type
    Injury
    Date Received
    April 27, 2026
    Report Date
    April 22, 2026
    Manufacturer
    UNKNOWN
    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) TECHNICAL SUPPORT TO REPORT A 16-1535-0 - MICROPORE-PAPER TAPE 1X10YDS W/DISPENSER. THE PATIENT REPORTED THAT THE PAPER TAPE STICKS TO HIS LINE AND IS HARD TO REMOVE THE ADHESIVE FROM IT. THE PATIENT INVOLVEMENT IS UNKNOWN. 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
    1055055 MICROPORE-PAPER TAPE 1X10YDS W/DISPENSER TAPE AND BANDAGE, ADHESIVE KGX UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Unknown