FDA Adverse Event Other Summary report: N

STRETCH LATEX FREE TOURNIQUET

MDR report key: 1120706 · Received August 14, 2008

Report

Report Number
1519375-2008-00001
Event Type
Other
Date Received
August 14, 2008
Date of Event
August 5, 2008
Report Date
August 14, 2008
Manufacturer
HYGENIC CORP.
Product Code
GAX
PMA / PMN Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

HCW REPORTED SOME SORT OF AN ALLERGIC REACTION OCCURRED AT THE SITE WHERE THE TOURNIQUET WAS APPLIED. THE REACTION CREATED A WHEAL AROUND THE PT'S ARM. THE PT WAS ADMINISTERED BENADRYL AND RESPONDED FAVORABLY TO THE MEDICATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 STRETCH LATEX FREE TOURNIQUET TOURNIQUET GAX HYGENIC CORP. NA 8B001

Patients

Seq Age Sex Outcome Treatment
1 NA