BEUDAMED
    FDA Adverse Event Summary report: N

    MICRO-TOUCH PLUS

    MDR report key: 1397985 · Received May 29, 2009

    Report

    Report Number
    1019632-2009-00006
    Date Received
    May 29, 2009
    Report Date
    May 29, 2009
    Manufacturer
    SIAM SERPERMED CORP. LTD
    Product Code
    LYY
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NV, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CUSTOMER STATES HE HAD A REACTION TO THE MT PLUS GLOVES THAT HIS DENTIST USED. HIS MOUTH BROKE OUT WITH BLISTERS, WHICH STARTED TO BLEED. HE THEN HAD TO MAKE A VISIT TO THE EMERGENCY ROOM FOR TREATMENT. HE WAS GIVEN AN AMOXICILLIN FOR THE REACTION. CUSTOMER DOES NOT KNOW IF HE'S ALLERGIC TO LATEX.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MICRO-TOUCH PLUS EXAMINATION GLOVES LYY SIAM SERPERMED CORP. LTD 0903230877

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization