MAUDE Adverse Event Report: SUZHOU MEDSPORTS PRODUCTS CO. LTD. Equate; Kinesiology Tape Black

Model Number	UPC# 681131286244
Medical Device Problem Code	Adverse Event Without Identified Device or Use Problem (2993)
Health Effect - Clinical Code	Rash (2033)
Date of Event	08/27/2026
Type of Reportable Event	Serious Injury

• Brand Name: Equate
• Common Device Name: Kinesiology Tape Black
• Manufacturer (Section D): SUZHOU MEDSPORTS PRODUCTS CO. LTD.; 128 fangzhou road suzhou ind.; loufeng east district, suzhou 21512 3 CN; CH 215123 CN
• Manufacturer (Section G): ASO LLC; 300 sarasota center blvd.; sarasota FL 34240
• Manufacturer Contact: 300 sarasota center blvd.; sarasota, FL 34240
• MDR Report Key: 50888518
• Report Number: 1038758-2026-00025
• Device Sequence Number: 21498840
• Product Code: KGX
• UDI-Device Identifier: 00681131286244
• UDI-Public: 00681131286244
• Combination Product (Y/N): N
• Initial Reporter State: AZ
• Initial Reporter Country: US
• PMA/510(K) Number: Exempt
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Consumer,Company Representative
• Type of Report: Initial
• Report Date (Section B): 09/24/2026

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 Model Number: UPC# 681131286244
• Device Catalogue Number: 578868774
• Device Lot Number: 244858
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 08/27/2026
• Initial Report FDA Received Date: 09/24/2026
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 07/04/2025
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Initial
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Other
• Patient Age: 55 YR
• Patient Sex: Female