BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK

    MDR report key: 134643 · Received November 25, 1997

    Report

    Report Number
    1520348-1997-00053
    Event Type
    Injury
    Date Received
    November 25, 1997
    Date of Event
    October 12, 1995
    Report Date
    October 20, 1997
    Manufacturer
    ANSELL PERRY
    Product Code
    LYY
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    INDIVIDUAL WORKED AS AN ANESTHESIOLOGIST FROM MARCH 1980 TO JUNE 15, 1996, WHICH REQUIRED USE OF LATEX MEDICAL GLOVES. ON OCT. 12, 1995 THE INDIVIDUAL ALLEGEDLY SUFFERED HIS FIRST ANAPHLACTIC SHOCK AND WAS GIVEN A RAST TEST AND DISCOVERED HE WAS ALLERGIC TO LATEX.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK LATEX MEDICAL GLOVES LYY ANSELL PERRY UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Disability