FDA Adverse Event
Malfunction
Summary report: N
ACECIDE-C
MDR report key: 10747370
·
Received October 28, 2020
Report
- Report Number
- 10747370
- Event Type
- Malfunction
- Date Received
- October 28, 2020
- Date of Event
- October 2, 2020
- Report Date
- October 2, 2020
- Manufacturer
- BEST SANITIZERS INC.
- Product Code
- MED
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- VA
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
UPON OPENING BOX OF ACECIDE CHEMICAL, THE (B)(4) BAG CONTAINING THE BOTTLES OF CHEMICALS IS WET AND THE BOTTLES ARE LEAKING. THERE IS A STRONG CHEMICAL SMELL. UNABLE TO DETERMINE LOCATION OF LEAK/BREAK/CRACK IN EITHER BOTTLE OF ACECIDE-C SOLUTION 1 & 2. IN THE PAST 3 WEEKS THERE HAVE BEEN 14 BOXES WITH LEAKING CONTAINERS (NOT COUNTING THIS EVENT).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1212246 | ACECIDE-C | STERILANT, MEDICAL DEVICES | MED | BEST SANITIZERS INC. | 20231ACE |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |