FDA Adverse Event
Other
Summary report: N
SHIELD GLOVES
MDR report key: 11016
·
Received January 21, 1994
Report
- Report Number
- MW1000457
- Event Type
- Other
- Date Received
- January 21, 1994
- Date of Event
- December 13, 1993
- Report Date
- January 4, 1994
- Manufacturer
- APO HEALTH
- Product Code
- LYY
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- WA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
SUSPECTED ALLERGIC REACTION TO LATEX EXAM GLOVES (DENTAL).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | SHIELD GLOVES | LATEX GLOVES | LYY | APO HEALTH |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 43 YR | Other |