BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK

    MDR report key: 39365 · Received September 17, 1996

    Report

    Report Number
    1520348-1996-00001
    Event Type
    Injury
    Date Received
    September 17, 1996
    Date of Event
    January 1, 1995
    Report Date
    September 13, 1996
    Manufacturer
    SMITH & NEPHEW PERRY
    Product Code
    LYY
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    IN JANUARY OF 1995, THE INDIVIDUAL ALLEGEDLY WAS DIAGNOSED WITH LATEX HYPERSENSITIVITY TYPE I.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK SURGICAL GLOVES LYY SMITH & NEPHEW PERRY UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Death| O