FDA Adverse Event Other Summary report: N

SAFESKIN LATEX GLOVE

MDR report key: 14039 · Received June 15, 1994

Report

Report Number
MW1002485
Event Type
Other
Date Received
June 15, 1994
Date of Event
May 24, 1994
Report Date
June 3, 1994
Manufacturer
SIME HEALTH LTD.
Product Code
LYY
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
SD, US
Reporter Occupation
DENTIST

Narratives

Description of Event or Problem · 1

PT DEVELOPED A RASH AROUND LIPS (EXTERNAL) AND EARS AFTER A 30-45 MINUTE DENTAL PROCEDURE FOR APPLICATION OF ORTHODONTIC APPLIANCES. CLINICAL APPEARANCE AND IMPRESSION WAS OF LATEX GLOVE HYPERSENSITIVITY. (SAME RPTR REFERRED TO IN 1002484.)

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SAFESKIN LATEX GLOVE LATEX GLOVE LYY SIME HEALTH LTD.

Patients

Seq Age Sex Outcome Treatment
1 12 YR Other