BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    SYNTHETIC POWDER FREE VINYL EXAM GLOVE

    MDR report key: 2543994 · Received April 20, 2012

    Report

    Report Number
    2543994
    Event Type
    Malfunction
    Date Received
    April 20, 2012
    Report Date
    April 20, 2012
    Manufacturer
    KIMBERLY CLARK
    Product Code
    LYZ
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    VT, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    A DISPOSABLE GLOVE WAS MISSING A FINGER. THE NURSE DID NOT USE GLOVE AND OBTAINED NEW GLOVE FOR THE PROCEDURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SYNTHETIC POWDER FREE VINYL EXAM GLOVE GLOVE LYZ KIMBERLY CLARK REF #55033 SG1352GW7

    Patients

    Seq Age Sex Outcome Treatment
    1 *