BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LATEX

    MDR report key: 1220643 · Received November 2, 2008

    Report

    Report Number
    MW5008841
    Event Type
    Injury
    Date Received
    November 2, 2008
    Date of Event
    March 1, 2007
    Report Date
    November 2, 2008
    Manufacturer
    RUBBER TREE
    Product Code
    LYY
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    GA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    ANAPHYLAXIS REACTION TO LATEX FROM SECOND HAND CONTACT - DISHWASHER WAS WEARING LATEX GLOVES-, REACTION OCCURRED AFTER EATING OFF OF PLATE AND NOT COMING INTO DIRECT CONTACT. WORRIES SAME EVENT COULD HAPPEN AFTER LATEX FOOD HANDLING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LATEX LATEX LYY RUBBER TREE

    Patients

    Seq Age Sex Outcome Treatment
    1 26 YR Hospitalization| L