ESTEEM STRETCHY NITRILE II LIGHT BLUE S 8811NB

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 2017-05-15 for ESTEEM STRETCHY NITRILE II LIGHT BLUE S 8811NB manufactured by Cardinal Health Malaysia 211 Sdn.bhd.

Event Text Entries

[75182670] Historical trending for the past 12 months: this is the 1st? Complaint for this glove type and failure mode. 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 testing and quality inspection of this lot passed all testing and inspection requirements prior to final shipment release. Inspection and testing of gloves from this lot at the time of release prior to shipment met all requirements as specified for this product. A root cause could not be identified without the issue samples. It is to be noted that sensitivity of individuals to nitrile gloves may be a factor in developing allergic reaction or skin irritation 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. ? 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


[75182671] Based on information received from the customer, an employee possibly had an allergic reaction to our nitrile gloves. The employee was seen by the doctor.? No further information could be obtained from the customer.
Patient Sequence No: 1, Text Type: D, B5


[87063188] The returned glove complaint samples were received for evaluation and tested, but did not exhibit any visible abnormality. Further testing of the glove samples showed the glove ph was close to the neutral range and the extractable chemical residue test results showed? Not detected? Or the concentration is below the detectable limit for the identified chemicals on the gloves that could potentially cause allergic reaction to users. ? Based on the results for the samples received we are unable to determine the root cause at this time.? No corrective action will be taken based on the investigation results, but we will continue to monitor for trends.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1423537-2017-00094
MDR Report Key6567606
Report SourceCOMPANY REPRESENTATIVE,USER F
Date Received2017-05-15
Date of Report2017-06-14
Date of Event2017-04-14
Date Facility Aware2017-04-14
Date Mfgr Received2017-04-14
Date Added to Maude2017-05-15
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 NameESTEEM STRETCHY NITRILE II LIGHT BLUE S
Generic NamePATIENT EXAMINATION GLOVE
Product CodeFMC
Date Received2017-05-15
Model Number8811NB
Catalog Number8811NB
Lot Number2M14E013
Device AvailabilityN
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 2017-05-15

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