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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: 3M COMPANY MICROPORE SURGICAL TAPE; TAPE AND BANDAGE, ADHESIVE

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3M COMPANY MICROPORE SURGICAL TAPE; TAPE AND BANDAGE, ADHESIVE Back to Search Results
Device Problem Patient-Device Incompatibility (2682)
Patient Problems Inflammation (1932); Scar Tissue (2060)
Event Date 09/01/2021
Event Type  Injury  
Event Description
While in the hospital in the united states; micropore tape by 3m was use on the reporter and caused inflammation and scarring."it is not hypoallergenic; it attacked my skin and was very aggressive.I want it removed from the shelves and for no one to have the reaction that i did".
 
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Brand Name
MICROPORE SURGICAL TAPE
Type of Device
TAPE AND BANDAGE, ADHESIVE
Manufacturer (Section D)
3M COMPANY
MDR Report Key12682395
MDR Text Key278421954
Report NumberMW5104897
Device Sequence Number1
Product Code KGX
Reporter Country CodeFR
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Patient
Type of Report Initial
Report Date 10/21/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/21/2021
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator No Information
Is the Reporter a Health Professional? No
Was Device Evaluated by Manufacturer? No Information
Type of Device Usage N
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
Patient Age67 YR
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