BEUDAMED
    FDA Adverse Event Other Summary report: N

    UNK

    MDR report key: 180622 · Received July 29, 1998

    Report

    Report Number
    MW1014312
    Event Type
    Other
    Date Received
    July 29, 1998
    Date of Event
    January 1, 1993
    Report Date
    April 21, 1998
    Manufacturer
    UNK
    Product Code
    GAX
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    AZ, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    FOLLOWING USE OF A NATURAL RUBBER LATEX TOURNIQUET FOR A BLOOD DRAW HE DEVELOPED HIVES AND CONTACT DERMATITIS ALL OVER. IT STARTED FROM THE AREA WHERE THE TOURNIQUET WAS APPLIED ON HIS ARM. FOLLOWING REACTIONS FROM NATURAL RUBBER LATEX BALLOONS AND BALLS RPTR HAS AVOIDED NATURAL RUBBER LATEX PRODUCTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK TOURNIQUET-NATURAL LATEX RUBBER GAX UNK * *

    Patients

    Seq Age Sex Outcome Treatment
    1 15 MO Other