FDA Adverse Event
Injury
Summary report: N
MICROPORE-SURGICAL TAPE 1X10YDS
MDR report key: 25244324
·
Received May 20, 2026
Report
- Report Number
- MW5188540
- Event Type
- Injury
- Date Received
- May 20, 2026
- Date of Event
- May 1, 2026
- Report Date
- May 14, 2026
- Manufacturer
- 3M COMPANY/ 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 THEY USED THE TAPE AND SUBSEQUENTLY EXPERIENCED AN ALLERGIC REACTION. THE PATIENT REPORTED ITCHINESS AND REDNESS ON THE AFFECTED AREA OF THE SKIN. 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 |
|---|---|---|---|---|---|---|---|
| 417320 | MICROPORE-SURGICAL TAPE 1X10YDS | TAPE AND BANDAGE, ADHESIVE | KGX | 3M COMPANY/ SOLVENTUM US LLC | 16-5301-0 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |