BEUDAMED
    FDA Adverse Event Other Summary report: N

    DRAPE TAPES

    MDR report key: 466186 · Received June 17, 2003

    Report

    Report Number
    1423507-2003-00082
    Event Type
    Other
    Date Received
    June 17, 2003
    Date of Event
    May 21, 2003
    Report Date
    June 17, 2003
    Manufacturer
    CARDINAL HEALTH
    Product Code
    KGT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FR
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    DURING THE WITHDRAWAL, THE ADHESIVES BANDS SNATCHED AWAY THE SKIN OF THE PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 DRAPE TAPES DRAPE TAPES KGT CARDINAL HEALTH 3524CE 02EBJ001

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other