BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SEMPERCARE NIPFT 103

    MDR report key: 1026303 · Received March 29, 2008

    Report

    Report Number
    1063245-2008-00001
    Event Type
    Injury
    Date Received
    March 29, 2008
    Date of Event
    March 1, 2008
    Report Date
    March 28, 2008
    Manufacturer
    SIAM SEMPERMED CORP., LTD.
    Product Code
    FMC
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    PA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    NURSE IN PT CARE AT HOSP, DONNED NITRILE GLOVES AND HAD ALLERGIC REACTION, REQUIRING OVERNIGHT STAY IN ICU.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SEMPERCARE NIPFT 103 NITRILE EXAMINATION GLOVE FMC SIAM SEMPERMED CORP., LTD. NA 122007 7043 1730

    Patients

    Seq Age Sex Outcome Treatment
    1 * Hospitalization