FDA Adverse Event Injury Summary report: N

BD E-Z SCRUB

MDR report key: 11045892 · Received December 21, 2020

Report

Report Number
1710034-2020-00801
Event Type
Injury
Date Received
December 21, 2020
Date of Event
December 11, 2020
Report Date
December 15, 2020
Manufacturer
BECTON DICKINSON INFUSION THERAPY SYSTEMS INC.
Product Code
GEC
PMA / PMN Number
EXEMPT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

(B)(6) INITIAL MDR. A FOLLOW UP WILL BE SUBMITTED IF ADDITIONAL INFORMATION BECOMES AVAILABLE. (B)(4). BD WAS UNABLE TO PERFORM A THOROUGH INVESTIGATION AS NO SAMPLE OR LOT NUMBER WERE PROVIDED. COMPLAINTS RECEIVED FOR THIS DEVICE AND REPORTED CONDITION WILL CONTINUE TO BE TRACKED AND TRENDED. INFORMATION WILL BE CAPTURED ON TREND REPORTS AND MONITORED MONTHLY. OUR BUSINESS TEAM REGULARLY REVIEWS THE COLLECTED DATA FOR IDENTIFICATION OF EMERGING TRENDS.

Description of Event or Problem · 1

IT WAS REPORTED THAT THE PATIENTS ARE EXPERIENCING SKIN REDNESS, PEELING, AND ITCHING AFTER BRUSHING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1515808 BD E-Z SCRUB CHLORAHEXIDINE GLUCONATE SOLUTION GEC BECTON DICKINSON INFUSION THERAPY SYSTEMS INC. UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Other