BEUDAMED
    FDA Adverse Event Injury Summary report: N

    *

    MDR report key: 167361 · Received May 5, 1998

    Report

    Report Number
    MW1013767
    Event Type
    Injury
    Date Received
    May 5, 1998
    Date of Event
    January 1, 1989
    Report Date
    May 5, 1998
    Manufacturer
    UNK
    Product Code
    LYY
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    RTPR WORKED IN HOSP AS AN LPN NURSE, AND HAD SEVERE ANAPHYLACTIC REACTION TO THE LATEX EXAMINATION GLOVES AND THE CORNSTARCH POWDERS FROM THE GLOVES IN 1989. HAD NO OTHER PRIOR SYMPTOMS OF A LATEX ALLERGY PRIOR TO THIS EVENT. THEREAFTER THE ANAPHYLACTIC EVENT, HAD THE HAND RASH/HIVES, NASAL CONGESTION AND TEARING EYES AND SHORTNESS OF BREATH, AND IN 1990 HAD SEVERAL MORE SEVERE ANAPHYLACTIC REACTION AFTER USING LATEX EXAM GLOVE W/CORNSTARCH POWDER AND CARING FOR PTS ON VENTILATOR AND ALSO WEARING FACE MASK, CONTAINING LATEX. DIDN'T REALIZE UNTIL 1996 THAT RPTR HAD DEVELOPED ASTHMA SECONDARY TO THE LATEX ALLERGY AND THAT THE POWDER IN THE AIR FROM THE LATEX GLOVES CAUSED RPTR'S MANY ANAPHYLACTIC REACTIONS SINCE 1989-PRESENT TIME.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * LATEX GLOVES W/CORNSTARCH POWDER LYY UNK * *

    Patients

    Seq Age Sex Outcome Treatment
    1 24 YR Life Threatening| O| S