BEUDAMED
    FDA Adverse Event Other Summary report: N

    RUBBER DAM

    MDR report key: 31711 · Received April 2, 1996

    Report

    Report Number
    MW1008794
    Event Type
    Other
    Date Received
    April 2, 1996
    Date of Event
    January 1, 1995
    Report Date
    March 24, 1996
    Manufacturer
    UNKNOWN
    Product Code
    EIE
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    RPTR WAS TEACHING STERILE TECHNIQUE TO NURSING STUDENTS USING LATEX GLOVES AND HER EYES SWELLED SHUT. THEN SHE WAS AT THE DENTIST'S OFFICE GETTING HER TEETH EXAMINED AND AGAIN SHE HAD DIFFICULTY BREATHING AND HER EYES SWELLED. BLOOD WAS DRAWN THE SAME DAY AND IT CAME BACK 1+ FOR LATEX ALLERGY. (ALSO SEE 1008795).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RUBBER DAM RUBBER DAM EIE UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 42 YR Other