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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: WALMART STORES EQUATE FLEXIBLE FABRIC ANTIBACTERIAL BANDAGES; TAPE AND BANDAGE, ADHESIVE

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WALMART STORES EQUATE FLEXIBLE FABRIC ANTIBACTERIAL BANDAGES; TAPE AND BANDAGE, ADHESIVE Back to Search Results
Lot Number 00008775
Patient Problems Erythema (1840); Skin Inflammation/ Irritation (4545)
Event Date 01/21/2024
Event Type  Injury  
Event Description
I used the equate flexible fabric antibacterial bandages, and the bandage caused irritation/redness.Bandage was used to cover stitches/wound from a procedure.
 
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Brand Name
EQUATE FLEXIBLE FABRIC ANTIBACTERIAL BANDAGES
Type of Device
TAPE AND BANDAGE, ADHESIVE
Manufacturer (Section D)
WALMART STORES
601 north walton blvd.
mail stop 0410
bentonville AR 72716
MDR Report Key18623365
MDR Text Key334436562
Report NumberMW5150966
Device Sequence Number1
Product Code KGX
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Patient
Type of Report Initial
Report Date 01/29/2024
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Lot Number00008775
Was Device Available for Evaluation? Yes
Initial Date Manufacturer Received Not provided
Initial Date FDA Received01/31/2024
Patient Sequence Number1
Patient Age45 YR
Patient SexFemale
Patient Weight68 KG
Patient EthnicityNon Hispanic
Patient RaceBlack Or African American
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