SENSICARE PF STERILE EXAM GLOVES 83292 205773789, 105179744

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2012-10-25 for SENSICARE PF STERILE EXAM GLOVES 83292 205773789, 105179744 manufactured by Medline Industries.

Event Text Entries

[18855838] 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.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2814242
MDR Report Key2814242
Date Received2012-10-25
Date of Report2012-10-25
Date of Event2012-10-23
Report Date2012-10-25
Date Reported to FDA2012-10-25
Date Added to Maude2012-11-01
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameSENSICARE PF STERILE EXAM GLOVES
Generic NamePOWDER-FREE VINYL, STERILE PATIENT EXAMINATION GLOVE
Product CodeLYZ
Date Received2012-10-25
Returned To Mfg2012-10-26
Model Number83292
Catalog Number205773789, 105179744
Lot Number205627548, 10517944,
ID Number*
OperatorNURSE
Device AvailabilityR
Device Age1 DY
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE INDUSTRIES
Manufacturer AddressONE MEDLINE PLACE MUNDELEIN IL 60060 US 60060


Patients

Patient NumberTreatmentOutcomeDate
10 2012-10-25

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