VINYL GLOVES

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-06-05 for VINYL GLOVES manufactured by Unk.

MAUDE Entry Details

Report NumberMW5087173
MDR Report Key8675065
Date Received2019-06-05
Date of Report2019-06-03
Date Added to Maude2019-06-06
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Sequence Number: 1

Brand NameVINYL GLOVES
Generic NameVINYL PATIENT EXAMINATION GLOVE
Product CodeLYZ
Date Received2019-06-05
Lot NumberJCU608397064
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK

Device Sequence Number: 2

Brand NameNITRILE GLOVES
Generic NamePOLYMER PATIENT EXAMIINATION GLOVE
Product CodeLZA
Date Received2019-06-05
Lot NumberMH608404567
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No2
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK


Patients

Patient NumberTreatmentOutcomeDate
10 2019-06-05

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