BEUDAMED
    FDA Adverse Event Summary report: N

    SENSI TOUCH WHITE

    MDR report key: 1591647 · Received January 22, 2010

    Report

    Report Number
    1019632-2010-00003
    Date Received
    January 22, 2010
    Report Date
    January 22, 2010
    Manufacturer
    ANSELL LANKA (PVT) LTD
    Product Code
    KGO
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    DAUGHTER CALLED TO ADVISE THAT HER FATHER (B)(6) HAD AN ALLERGIC REACTION TO LATEX. DOCTOR WAS ON IV ANTIBIOTICS FOR 10 DAYS AND WAS HOSPITALIZED WITH VANCOMYCIN FOR 10 DAYS. (B)(6) WENT TO INFECTIOUS DISEASE AND HAND SURGEON.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SENSI TOUCH WHITE SURGICAL GLOVES KGO ANSELL LANKA (PVT) LTD 782-300 0710120905

    Patients

    Seq Age Sex Outcome Treatment
    1 Hospitalization