BEUDAMED
    FDA Adverse Event Other Summary report: N

    PERRY

    MDR report key: 158118 · Received March 20, 1998

    Report

    Report Number
    MW1013300
    Event Type
    Other
    Date Received
    March 20, 1998
    Date of Event
    January 1, 1994
    Report Date
    March 20, 1998
    Manufacturer
    ANSELL PERRY
    Product Code
    KGO
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NY, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    ACCORDING TO THE RPTR, HIS SYMPTOMS RELATED TO A LATEX ALLERGY STARTED IN 1994. HIS SYMPTOMS CONSIST OF CONJUNCTIVITIS WHICH DEVELOPS EVEN AFTER WASHING HIS HANDS, CONTACT DERMATITIS, AND ASTHMA. IN 04-1995, THE RPTR WAS ADMITTED TO THE HOSP WITH STATUS ASTHMATICUS. HIS ASTHMA AS WELL AS THE OTHER SYMPTOMS CONTINUE TO WORSEN. HE HAS HAD SEVERAL ASTHMA ATTACKS SINCE HIS HOSPITALIZATION. TO THIS DATE, THE RPTR HAS NOT EXPERIENCED ANAPHYLAXIS. THE RPTR STOPPED WORKING ON 02-11-98 DUE TO HIS LATEX ALLERGY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PERRY SURGICAL GLOVES KGO ANSELL PERRY NI UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 50 YR Other