MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-03-17 for TAPE MICROPORE PAPER SURG 1" X 10 YD manufactured by 3m Company.
[184275832]
Indication - selective deficiency of immunoglobulin a [iga]. Pt mom requested a wrap to send since the tape affects the skin of her child. Tylenol needed as well. No further info provided. Reported to cvs/caremark by pt/caregiver. Dose or amount: 1"x 10yd, frequency: as needed, route: topical. Dates of use: (b)(6) 2020 to current.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5093823 |
| MDR Report Key | 9848153 |
| Date Received | 2020-03-17 |
| Date of Report | 2020-03-06 |
| Date Added to Maude | 2020-03-18 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | TAPE MICROPORE PAPER SURG 1" X 10 YD |
| Generic Name | TAPE AND BANDAGE, ADHESIVE |
| Product Code | KGX |
| Date Received | 2020-03-17 |
| Device Availability | * |
| Device Eval'ed by Mfgr | I |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | 3M COMPANY |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2020-03-17 |