FDA Adverse Event Injury Summary report: N

MICROPORE-PAPER TAPE 1X10YDS W/DISPENSER

MDR report key: 25244316 · Received May 20, 2026

Report

Report Number
MW5188539
Event Type
Injury
Date Received
May 20, 2026
Date of Event
April 15, 2026
Report Date
May 14, 2026
Manufacturer
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

A PERITONEAL DIALYSIS (PD) PATIENT CONTACTED (B)(6) CUSTOMER SERVICE AND REPORTED THAT THE PATIENT HAS A STATED ALLERGY TO TAPE AND IS UNABLE TO USE SILK TAPE BUT USES PAPER TAPE. THE PATIENT REPORTED THAT USE OF PAPER TAPE RESULTS IN BUMPS BUT DOES NOT CAUSE A BREAKOUT AS WOULD OCCUR WITH USE OF SILK TAPE. THE PATIENT STATED THAT SHE WILL CONTINUE USING PAPER TAPE AS IT IS THE ONLY AVAILABLE OPTION. 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
417319 MICROPORE-PAPER TAPE 1X10YDS W/DISPENSER TAPE AND BANDAGE, ADHESIVE KGX SOLVENTUM US LLC 16-1535-0

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown