BEUDAMED
    FDA Adverse Event Other Summary report: N

    HANNAFORD

    MDR report key: 3210828 · Received July 2, 2013

    Report

    Report Number
    1038758-2013-00015
    Event Type
    Other
    Date Received
    July 2, 2013
    Date of Event
    June 11, 2013
    Report Date
    July 2, 2013
    Manufacturer
    ASO LLC
    Product Code
    KGX
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    ME, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    THE END USER COMPLAINED THAT THE BANDAGE TORE HER SKIN WHEN SHE PULLED IT OFF.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    302897 HANNAFORD ADHESIVE BANDAGES KGX ASO LLC HBC725434997018 UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 Other