FDA Adverse Event Other Summary report: N

SENSICARE POWDER FREE MEDICAL EXAMINATION GLOVES

MDR report key: 385557 · Received March 29, 2002

Report

Report Number
9615361-2002-00001
Event Type
Other
Date Received
March 29, 2002
Report Date
March 27, 2002
Manufacturer
MAXXIM MEDICAL CANADA LIMITED
Product Code
LYZ
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

HEALTHCARE WORKER IN HOSPITAL HAD TISSUE REACTION WHICH IS CLAIMED TO BE DUE TO THE GLOVES. THIS INDIVIDUAL WAS SUBSEQUENTLY HOSPITALIZED FOR BACTERIAL CELLULITUS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SENSICARE POWDER FREE MEDICAL EXAMINATION GLOVES NON-STERILE MEDICAL EXAMINATION GLOVES LYZ MAXXIM MEDICAL CANADA LIMITED NA 146HB08

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Hospitalization| O| R