CRITERION N200 POWDER FREE NITRILE EXAM GLOVES 9007440

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a distributor report with the FDA on 2017-02-27 for CRITERION N200 POWDER FREE NITRILE EXAM GLOVES 9007440 manufactured by Cardinal Health Malaysia 211 Sdn.bhd.

Event Text Entries

[68404960] At this time the samples were received in (b)(4) on 2/23/17 and have been sent to the supplier for evaluation. A follow-up will be filed once the sample evaluation has been completed.
Patient Sequence No: 1, Text Type: N, H10


[68404961] Based on the customers report, there was a shard of glass inside the glove, and it pierced a woman? S hand. The shard was removed successfully with forceps and the woman had to go to the occupational health center. The woman also had unknown blood work done.
Patient Sequence No: 1, Text Type: D, B5


[71591961] Based on the lot number provided, we reviewed the device history record (dhr) and no abnormalities were noted. All manufacturing process control and operating parameters were within the validated specification and no abnormality was found. No change was made to the raw materials and suppliers, compounding formulation, or manufacturing processes during the production of this lot. Pre-shipment quality inspection of this lot passed all inspection requirements prior to final shipment release.? ? An opened box of gloves for the same lot number was provided by the customer for evaluation.?? No shard of glass or other foreign substance was found on any of the gloves. Therefore we are unable to confirm the issue reported. ? Ongoing preventive action items that are being done or implemented by the glove manufacturer to eliminate or reduce the recurrence of such defect are as follows: any detected incident of broken mold at the production line adjacent to packing area will trigger the batch of gloves being packed at the time to be quarantined and sorted prior to packing/repacking. Covering the exposed section of the production line adjacent to the packing area to contain any debris from broken molds within the enclosed section. Packing materials and glove containers shall be stored or maintained properly to prevent exposure to any incidents of flying debris from broken molds at the line. The glove manufacturer will continue to ensure that the manufacturing process is stable as well as capable, good manufacturing practices are adhered to and continuous improvement strategies are implemented in order to ensure gloves are consistently produced according to the required specification prior to packing and release for shipment.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1423537-2017-00074
MDR Report Key6360835
Report SourceDISTRIBUTOR
Date Received2017-02-27
Date of Report2017-03-24
Date of Event2017-01-24
Date Facility Aware2017-02-02
Report Date2017-02-06
Date Reported to Mfgr2017-02-06
Date Mfgr Received2017-02-02
Date Added to Maude2017-02-27
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMICHELE DONATICH
Manufacturer Street1500 WAUKEGAN RD
Manufacturer CityWAUKEGAN IL 60085
Manufacturer CountryUS
Manufacturer Postal60085
Manufacturer G1CARDINAL HEALTH MALAYSIA 211 SDN.BHD
Manufacturer StreetZONE PHASE IV, MK 12 LINTANG ,
Manufacturer CityBAYAN LEPAS 11900
Manufacturer CountryMY
Manufacturer Postal Code11900
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCRITERION N200 POWDER FREE NITRILE EXAM GLOVES
Generic NamePATIENT EXAMINATION GLOVE
Product CodeFMC
Date Received2017-02-27
Returned To Mfg2017-02-23
Model Number9007440
Catalog Number9007440
Lot NumberH1R16K004
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCARDINAL HEALTH MALAYSIA 211 SDN.BHD
Manufacturer AddressZONE PHASE IV, MK 12 LINTANG , BAYAN LEPAS 11900 MY 11900


Patients

Patient NumberTreatmentOutcomeDate
10 2017-02-27

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