FDA Adverse Event Other Summary report: N

TOPCO

MDR report key: 3935820 · Received June 25, 2014

Report

Report Number
1038758-2014-00016
Event Type
Other
Date Received
June 25, 2014
Report Date
June 25, 2014
Manufacturer
ASO LLC
Product Code
KGX
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

ON (B)(6) 2014 - THE CONSUMER REPORTED THAT SHE HAD A SEVERE ALLERGIC REACTION TO THE BANDAGES, RESULTING IN BLISTERS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
371194 TOPCO CLEAR WATERPROOF STRONG STRIPS XL 10 CT KGX ASO LLC 36800186835 6054

Patients

Seq Age Sex Outcome Treatment
1 Other