BEUDAMED
    FDA Adverse Event Injury Summary report: N

    *

    MDR report key: 208348 · Received February 1, 1999

    Report

    Report Number
    2126208-1999-00001
    Event Type
    Injury
    Date Received
    February 1, 1999
    Date of Event
    August 24, 1998
    Report Date
    January 13, 1999
    Manufacturer
    UNK
    Product Code
    LYY
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    PA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    AN EMPLOYEE AT A FACILITY HAD BEEN EXPERIENCING ALLERGIC SYMPTOMS (RUNNY NOSE, SNEEZING) FOR QUITE SOME TIME. THE SYMPTOMS GOT PROGRESSIVELY WORSE. ON 8/24/1998 SHE EXPERIENCED A SEVERE ALLERGIC REACTION RESULTING IN PULMONARY EDEMA. CO-WORKERS WERE AFRAID SHE WAS HAVING A HEART ATTACK AND CALLED AN AMBULANCE. THE EMPLOYEE WAS HOSPITALIZED FOR 9 DAYS. IT WAS ULTIMATELY DETERMINED THAT SHE WAS ALLERGIC NOT TO THE LATEX BUT TO THE POWDER USED IN THE GLOVES. RED LINE MEDICAL SUPPLY, INC. WAS NOTIFIED OF THIS INCIDENT ON 12/9/1998.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * POWDERED LATEX GLOVES LYY UNK * *

    Patients

    Seq Age Sex Outcome Treatment
    1 46 YR Hospitalization| R