BEUDAMED
    FDA Adverse Event Other Summary report: N

    MICRO-TOUCH NEXTSTEP P-F STYLE 320

    MDR report key: 2997738 · Received March 4, 2013

    Report

    Report Number
    1019632-2013-00009
    Event Type
    Other
    Date Received
    March 4, 2013
    Report Date
    March 5, 2013
    Manufacturer
    LAT KRABANG
    Product Code
    LZA
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    (B)(4) - ANSELL HEALTHCARE PRODUCTS LLC, IS SUBMITTING THIS REPORT ON BEHALF OF ANSELL (B)(4).

    Description of Event or Problem · 1

    ALLERGIC REACTION, HIVES ON HANDS, FACE, AND HEAD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    91777 MICRO-TOUCH NEXTSTEP P-F STYLE 320 EXAMINATION GLOVES LZA LAT KRABANG 1210902628

    Patients

    Seq Age Sex Outcome Treatment
    1 Other