BEUDAMED
    FDA Adverse Event Injury Summary report: N

    FORMULA ONE LATEX POWDERED GLOVES

    MDR report key: 220143 · Received April 14, 1999

    Report

    Report Number
    MW1016175
    Event Type
    Injury
    Date Received
    April 14, 1999
    Date of Event
    September 1, 1997
    Report Date
    April 10, 1999
    Manufacturer
    TILLOTSON HEALTHCARE CORP.
    Product Code
    LYY
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    ME, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    RPTR USED POWDERED LATEX GLOVES FOR TWO YEARS IN HER JOB. SHE DEVELOPED A SEVERE LATEX ALLERGY DUE TO THESE GLOVES, WHICH BEGAN AS CONTACT DERMATITITS AND PROGRESSED TO SYSTEMIC REACTIONS. EVENT OCCURRED FROM 9/97 TO CURRENT 1999.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FORMULA ONE LATEX POWDERED GLOVES LATEX GLOVES LYY TILLOTSON HEALTHCARE CORP. * *

    Patients

    Seq Age Sex Outcome Treatment
    1 49 YR Life Threatening| R