BEUDAMED
    FDA Adverse Event Other Summary report: N

    EQUATE

    MDR report key: 6225049 · Received January 4, 2017

    Report

    Report Number
    MW5067054
    Event Type
    Other
    Date Received
    January 4, 2017
    Manufacturer
    WALMART STORES INC.
    Product Code
    KGX
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    ON (B)(6) 2016 THE CONSUMER STATED THAT SHE WAS USING THE BANDAGE ON HER BIG TOE. WHEN SHE WAS PULLING THE BANDAGE OFF, SHE NOTICED THAT THE ADHESIVE PULLED SOME OF THE SKIN OFF OF HER TOE. THE CONSUMER STATED THAT SHE HAVE USED THE SAME BANDAGES BEFORE WITHOUT ANY PROBLEMS. NO MEDICAL ATTENTION WAS REQUIRED. THE CONSUMER STATED THAT SHE NOTICED A REVIEW ONLINE THAT THIS HAD HAPPENED TO SOMEONE ELSE. PURCHASE DATE: (B)(6) 2016. DOCUMENT NUMBER: (B)(4) . REPORT NUMBER: (B)(4).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    6185 EQUATE ADHESIVE BANDAGE XL 1/3/4" X 4 KGX WALMART STORES INC.

    Patients

    Seq Age Sex Outcome Treatment
    1