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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DRESSING PRIMAPORE 2 'X3''; TAPE AND BANDAGE, ADHESIVE

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DRESSING PRIMAPORE 2 'X3''; TAPE AND BANDAGE, ADHESIVE Back to Search Results
Device Problems Output Problem (3005); Patient Device Interaction Problem (4001)
Patient Problem Skin Inflammation/ Irritation (4545)
Event Type  Injury  
Event Description
Patient reported her skin gets irritated by the adhesive from dressings/aguaguards.She has tried and failed opsite iv-3000, primapore and sorbaview.So far, allevyn is working for her.Patient did not provide any lot/expiration information for any of the dressings.Patient did not advise whether or not any of the dressing are available for investigation though it is unlikely ary are available.No other information known.Reported to (b)(6) by: patient/caregiver.
 
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Brand Name
DRESSING PRIMAPORE 2 'X3''
Type of Device
TAPE AND BANDAGE, ADHESIVE
MDR Report Key11893272
MDR Text Key253159335
Report NumberMW5101571
Device Sequence Number1
Product Code KGX
Combination Product (y/n)Y
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Other Health Care Professional
Type of Report Initial
Report Date 05/24/2021
4 Devices were Involved in the Event: 1   2   3   4  
1 Patient was Involved in the Event
Date FDA Received05/26/2021
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator No Information
Is the Reporter a Health Professional? Yes
Patient Sequence Number1
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