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