FG2602

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-03-26 for FG2602 manufactured by Medline Industries Inc..

Event Text Entries

[140003125] It was reported that end-user sustained a cut to the tip of her left thumb while donning the nitrile exam glove. No further details were provided regarding the description of the injury. Per report, after glove was taken off, a "glass" remained in end user's thumb and upon inspection of the glove, it was noticed that there was a "black ring on the tip of the thumb area. " it was reported that immediately after the incident occurred, a staff member helped remove the retained glass through an unidentified method and end user's wound was washed with soap and water. No further tests or treatment was required. The end-user is reportedly doing fine at this time. The reported incident did not impact a patient. Due to the reported event and required medical intervention to retrieve the retained glass from end user's thumb, this medwatch is being filed. The sample is not available to be returned for evaluation. A definitive root cause could not be determined at this time. No additional information is available. If additional information becomes available, a supplemental medwatch will be filed.
Patient Sequence No: 1, Text Type: N, H10


[140003126] It was reported that a nurse sustained a cut to the tip of her left thumb while donning the nitrile exam glove, which reportedly had a foreign particulate.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1417592-2019-00039
MDR Report Key8451314
Date Received2019-03-26
Date of Report2019-03-26
Date of Event2019-02-26
Date Mfgr Received2019-02-27
Date Added to Maude2019-03-26
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 ContactBERMON PUNZALAN
Manufacturer StreetTHREE LAKES DRIVE
Manufacturer CityNORTHFIELD IL 60093
Manufacturer CountryUS
Manufacturer Postal60093
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Generic NameGLOVE,EXAM,NITRL,PF,SELECT,TXT FNGR,M
Product CodeLZA
Date Received2019-03-26
Catalog NumberFG2602
Lot NumberEG810557785
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
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 2019-03-26

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