MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2012-04-20 for SYNTHETIC POWDER FREE VINYL EXAM GLOVE REF #55033 * manufactured by Kimberly Clark.
[17410929]
A disposable glove was missing a finger. The nurse did not use glove and obtained new glove for the procedure.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 2543994 |
| MDR Report Key | 2543994 |
| Date Received | 2012-04-20 |
| Date of Report | 2012-04-20 |
| Report Date | 2012-04-20 |
| Date Reported to FDA | 2012-04-20 |
| Date Added to Maude | 2012-04-20 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Reporter Occupation | RISK MANAGER |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | SYNTHETIC POWDER FREE VINYL EXAM GLOVE |
| Generic Name | GLOVE |
| Product Code | LYZ |
| Date Received | 2012-04-20 |
| Model Number | REF #55033 |
| Catalog Number | * |
| Lot Number | SG1352GW7 |
| ID Number | * |
| Device Availability | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | KIMBERLY CLARK |
| Manufacturer Address | 1400 HOLCOMB BRIDGE ROAD ROSWELL GA 30076 US 30076 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2012-04-20 |