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 |