BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MUELLER KINESIOLOGY TAPE

    MDR report key: 7674830 · Received July 10, 2018

    Report

    Report Number
    2110420-2018-00003
    Event Type
    Injury
    Date Received
    July 10, 2018
    Date of Event
    April 13, 2018
    Report Date
    July 10, 2018
    Manufacturer
    MUELLER SPORTS MEDICINE
    Product Code
    KGX
    PMA / PMN Number
    N/A
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    CUSTOMER USED K TAPE ON WED. AND THURSDAY SHE BROKE OUT IN A BAD RASH. WENT TO DR. ON FRIDAY (B)(6) 2018 AND WAS TOLD TO STOP USING IT. DR. HAVE RX OF BACTROBAN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    516416 MUELLER KINESIOLOGY TAPE TAPE AND BANDAGE, ADHESIVE KGX MUELLER SPORTS MEDICINE 23837

    Patients

    Seq Age Sex Outcome Treatment
    1 40 YR Required Intervention