FDA Adverse Event Death Summary report: N

UNK

MDR report key: 174809 · Received June 29, 1998

Report

Report Number
1520348-1998-00150
Event Type
Death
Date Received
June 29, 1998
Date of Event
June 11, 1996
Report Date
June 22, 1998
Manufacturer
ANSELL PERRY, INC.
Product Code
LYY
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
ATTORNEY

Narratives

Description of Event or Problem · 1

DEATH OF THE INDIVIDUAL OCCURRED ON 6/6/1996. THE LEGAL COMPLAINT STATED, DEATH RESULTED FROM EXPOSURE TO LATEX MEDICAL GLOVES USED IN THE PERFORMANCE OF JOB DUTIES AS A NURSE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 UNK LATEX MEDICAL GLOVES LYY ANSELL PERRY, INC. UNK UNK

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Death