FDA Adverse Event
Injury
Summary report: N
NITRILE EXAM GLOVE MEDIUM
MDR report key: 21587245
·
Received March 12, 2025
Report
- Report Number
- MW5167609
- Event Type
- Injury
- Date Received
- March 12, 2025
- Date of Event
- February 24, 2025
- Report Date
- March 7, 2025
- Manufacturer
- KOSSAN RUBBER INDUSTRIES / KOSSAN LATEX INDUSTRIES (M) SDN BHD
- Product Code
- LZA
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- MA, US
- Reporter Occupation
- OTHER
- Health Professional
- *
Narratives
Description of Event or Problem · 0
A PERITONEAL DIALYSIS (PD) PATIENT CONTACTED FRESENIUS CUSTOMER SERVICE TO REPORT THAT HIS WIFE'S HANDS ARE IRRITATED AFTER USING THE NITRILE EXAM GLOVES. PATIENT WAS ADVISED TO CONTACT THE REGISTERED NURSE SO SHE IS AWARE OF IT AND SHE CAN DECIDE WHAT OTHER GLOVES CAN BE ADDED TO THE PRESCRIPTION. THE PATIENT STATED HE WILL TALK TO THEIR RN AND THAT THIS ISSUE HAS BEEN GOING FOR ABOUT SIX WEEKS. "THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2)".
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1689851 | NITRILE EXAM GLOVE MEDIUM | POLYMER PATIENT EXAMINATION GLOVE | LZA | KOSSAN RUBBER INDUSTRIES / KOSSAN LATEX INDUSTRIES (M) SDN BHD | 031031103 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |