OAT6801H

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2017-08-11 for OAT6801H manufactured by Medline Industries Inc..

Event Text Entries

[82488064] An account reported an employee had an allergic reaction to gloves. The employee put the gloves on and after thirty seconds of wearing gloves developed localized itching and rash. The employee removed and discarded the gloved. The employee followed up with a provider and received decadron and anti-histamines to treat the reaction. The reaction improved and the end-user was able to complete the work shift without further incident. A sample was returned and a root cause has not been determined. Due to the reported incident and in an abundance of caution this medwatch is being filed.
Patient Sequence No: 1, Text Type: N, H10


[82488065] An account reported an employee had an allergic reaction to gloves.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1417592-2017-00060
MDR Report Key6788186
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2017-08-11
Date of Report2017-08-11
Date of Event2017-07-24
Date Mfgr Received2017-07-24
Device Manufacturer Date2017-04-01
Date Added to Maude2017-08-11
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 ContactMS. MEGAN DEBUS
Manufacturer StreetTHREE LAKES DRIVE
Manufacturer CityNORTHFIELD IL 60093
Manufacturer CountryUS
Manufacturer Postal60093
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Generic NameGLOVE, NITRILE
Product CodeLYY
Date Received2017-08-11
Catalog NumberOAT6801H
Lot NumberAM709371679
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE INDUSTRIES INC.
Manufacturer AddressTHREE LAKES DRIVE NORTHFIELD IL 60093 US 60093


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2017-08-11

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