BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK

    MDR report key: 108064 · Received July 25, 1997

    Report

    Report Number
    1520348-1997-00031
    Event Type
    Injury
    Date Received
    July 25, 1997
    Date of Event
    March 23, 1997
    Report Date
    July 21, 1997
    Manufacturer
    ANSELL PERRY, INC.
    Product Code
    LYY
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    ON MARCH 23, 1997 THE INDIVIDUAL FIRST BECAME AWARE THAT SYMPTOMS WERE RELATED TO LATEX EXPOSURE. SUFFERED RESPIRATORY PROBLEMS AND ANAPHYLACTIC REACTIONS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK LATEX MEDICAL GLOVES LYY ANSELL PERRY, INC. UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Disability