GLV EXAM PF THIN NITRILE FINGER TEX SM 88TN02S

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,user f report with the FDA on 2017-04-27 for GLV EXAM PF THIN NITRILE FINGER TEX SM 88TN02S manufactured by Cardinal Health Malaysia 211 Sdn.bhd.

Event Text Entries

[73812422] Historical trending for the past 12 months was completed: this is the 1st? Complaint for this lot number for this type of report. The device history record was reviewed and no abnormality 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 process during the production of this lot. Pre-shipment quality inspection of this lot passed all inspection requirements prior to final shipment release. Returned complaint gloves arrived on 4/25/2017. The need for corrective and/or preventive actions will be determined once the complaint samples testing is completed. It is to be noted that sensitivity of individuals to nitrile gloves may be a factor in developing skin irritation or allergic reaction from wearing such gloves. 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. A follow-up report will be filed once the sample evaluation has been completed.
Patient Sequence No: 1, Text Type: N, H10


[73812423] Based on the report received by the customer an employee went to employee health on (b)(6) 2017 and then to the emergency room on (b)(6) 2017 due to contact dermatitis. She was given? Hydrocortisone and benadryl by er.
Patient Sequence No: 1, Text Type: D, B5


[77965583] The returned glove samples were tested and did not exhibit any visible abnormality, ph reading is close to the neutral value, no skin irritation was reported by the glove manufacturing plant personnel from donning the glove at a 2-hour stretch. Residual chemical accelerator test returned a result of? Not detected? Or the concentration was below the detectable limit, which appears to rule out the presence of residual chemical accelerators on the gloves that could potentially cause irritation upon contact with skin. It is to be noted that sensitivity of certain individuals to nitrile gloves may be a factor in developing skin irritation or allergic reaction from wearing such gloves. Manufacturing process was reviewed by the glove manufacturer to ensure it is running with the validated parameters and within normal process capability. ? Manufacturing will continue to ensure leaching process is carried out according to the validated process parameter. 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 to ensure gloves are consistently produced according to the required specification prior to packing and release for shipment. Based on the testing performed we are unable to determine a root cause for the issue reported for this incident.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1423537-2017-00086
MDR Report Key6525560
Report SourceCOMPANY REPRESENTATIVE,USER F
Date Received2017-04-27
Date of Report2017-06-07
Date of Event2017-03-27
Date Facility Aware2017-04-03
Date Mfgr Received2017-04-03
Date Added to Maude2017-04-27
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
Remedial ActionOT
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameGLV EXAM PF THIN NITRILE FINGER TEX SM
Generic NamePATIENT EXAMINATION GLOVE
Product CodeFMC
Date Received2017-04-27
Returned To Mfg2017-04-25
Model Number88TN02S
Catalog Number88TN02S
Lot Number6B16P544
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
101. Other 2017-04-27

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