BEUDAMED
    FDA Adverse Event Death Summary report: N

    UNK

    MDR report key: 260641 · Received January 28, 2000

    Report

    Report Number
    1520348-2000-00007
    Event Type
    Death
    Date Received
    January 28, 2000
    Date of Event
    August 24, 1998
    Report Date
    January 27, 2000
    Manufacturer
    ANSELL PERRY, INC.
    Product Code
    LYY
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    THE LEGAL COMPLAINT STATES THAT THE INDIVIDUAL BECAME SENSITIZED AND ALLERGIC TO LATEX AS A RESULT OF REPEATED EXPOSURE TO AND THE WEARING OF LATEX MEDICAL GLOVES. THE INDIVIDUAL SUFFERED AN ANAPHYLATIC REACTION AND DIED OF CARDIORESPIRATORY FAILURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK LATEX MEDICAL GLOVES LYY ANSELL PERRY, INC. UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Death