MAUDE MDR 2814242

MDR report key
2814242
Report number
2814242
Event key
0
Event type
3
Date of event
2012-10-23
Date received
2012-10-25
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Report source
U
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1SENSICARE PF STERILE EXAM GLOVESPOWDER-FREE VINYL, STERILE PATIENT EXAMINATION GLOVEMEDLINE INDUSTRIESLYZ83292205773789, 105179744205627548, 10517944, R

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12012-10-250

Event Narratives#

D

Patient 1

STERILE GLOVE USED DURING VAGINAL EXAM HAD IMPRINT OF INK FROM PACKAGING ON IT. UNCLEAR ON HOW LONG THIS MAY HAVE BEEN OCCURRING. ALL GLOVES WERE PULLED FROM PATIENT CARE AREAS (L&D, TRIAGE & AP) REPLACED WITH GLOVES FROM L&D OR.