FDA Adverse Event
Malfunction
Summary report: N
STARMED ULTRA NITRILE EXAM GLOVE
MDR report key: 12494744
·
Received September 20, 2021
Report
- Report Number
- 12494744
- Event Type
- Malfunction
- Date Received
- September 20, 2021
- Date of Event
- September 9, 2021
- Report Date
- September 13, 2021
- Manufacturer
- SEMPERMED
- Product Code
- OPJ
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- OH
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
EMPLOYEE IN WOUND CARE OBTAINING A GLOVE OUT OF A FULL BOX OF GLOVES. HOLE IN THUMB OF GLOVE WHEN REMOVED FROM BOX.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1394712 | STARMED ULTRA NITRILE EXAM GLOVE | MEDICAL GLOVES W/ CHEMOTHERAPY LABELING CLAIMS - FOR USE W/ CHEMOTHERAPY DRUGS | OPJ | SEMPERMED | L0794972103 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |