FDA Adverse Event Malfunction Summary report: N

SENSICARE VINYL GOLVES

MDR report key: 275583 · Received April 28, 2000

Report

Report Number
9613193-2000-00003
Event Type
Malfunction
Date Received
April 28, 2000
Manufacturer
MAXXIM BELGIUM N.V.
Product Code
LYZ
Removal / Correction Number
NA
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

CUSTOMER CLAIMS BLOOD SEEPED THROUGH GLOVES DURING A TRAUMA SITUATION IN EMERGENCY ROOM. NO IMMEDIATE HEALTH CONCERN. THERE IS THE POTENTIAL THAT THE HEALTH CARE PROVIDER MAY HAVE BEEN IN CONTACT WITH A BLOOD BORNE PATHOGEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SENSICARE VINYL GOLVES NON-STERILE POWDERED MEDICAL EXAMINATION GLOVES LYZ MAXXIM BELGIUM N.V. NA 00202G

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other