FDA Adverse Event
Malfunction
Summary report: N
STARMED ULTRA NITRILE EXAM GLOVE
MDR report key: 15461155
·
Received September 21, 2022
Report
- Report Number
- 15461155
- Event Type
- Malfunction
- Date Received
- September 21, 2022
- Date of Event
- August 22, 2022
- Report Date
- August 24, 2022
- Manufacturer
- SEMPERMED USA, INC.
- Product Code
- OPJ
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- OH
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
EMPLOYEE IN WOUND CARE OBTAINING A GLOVE OUT OF A BOX. THE THUMB OF THE GLOVE WAS RIPPED WHEN REMOVED. GLOVE SAVED AND NOT USED FOR PATIENT CARE. 5TH EVENT, SAME NATURE. MANUFACTURER RESPONSE FOR SEMPERMED STARMED ULTRA NITRILE EXAM GLOVES, (BRAND NOT PROVIDED) (PER SITE REPORTER) AWARE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2728304 | STARMED ULTRA NITRILE EXAM GLOVE | MEDICAL GLOVES WITH CHEMOTHERAPY LABELING CLAIMS - TEST FOR USE WITH CHEMO | OPJ | SEMPERMED USA, INC. | SMTN254 | L012271 2203 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |