BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LATEX AND RUBBER TOURNIQUET

    MDR report key: 17182 · Received October 26, 1994

    Report

    Report Number
    MW1003823
    Event Type
    Injury
    Date Received
    October 26, 1994
    Date of Event
    December 1, 1993
    Report Date
    October 5, 1994
    Manufacturer
    UNKNOWN
    Product Code
    GAX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    MEDICAL TECHNOLOGIST

    Narratives

    Description of Event or Problem · 1

    RPTR HAS SYSTEMIC REACTIONS TO LATEX AND RUBBER. (ALSO SEE 1003822 AND 1003824.)

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LATEX AND RUBBER TOURNIQUET GAX UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 33 YR Life Threatening