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 |