BEUDAMED
    FDA Adverse Event Other Summary report: N

    UNK

    MDR report key: 167081 · Received April 3, 1998

    Report

    Report Number
    MW1013756
    Event Type
    Other
    Date Received
    April 3, 1998
    Date of Event
    January 1, 1994
    Report Date
    April 3, 1998
    Manufacturer
    JOHNSON & JOHNSON MEDICAL, INC.
    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. THE MAIN SYSTEMIC PROBLEM IS ASTHMA. ON 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 2-11-98 DUE TO HIS LATEX ALLERGY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK SURGICAL GLOVES KGO JOHNSON & JOHNSON MEDICAL, INC. NI UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 50 YR Other