FDA Adverse Event
Injury
Summary report: N
BD E-Z SCRUB
MDR report key: 11618774
·
Received April 6, 2021
Report
- Report Number
- 1423507-2021-00021
- Event Type
- Injury
- Date Received
- April 6, 2021
- Date of Event
- March 12, 2021
- Report Date
- March 26, 2021
- Manufacturer
- CAREFUSION, INC
- Product Code
- GEC
- PMA / PMN Number
- EXEMPT
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
PR (B)(4) INITIAL EMDR SUBMISSION. A FOLLOW UP EMDR WILL BE SUBMITTED IF ADDITIONAL INFORMATION BECOMES AVAILABLE. (B)(4).
Description of Event or Problem · 1
MATERIAL NO.: 377479 BATCH NO.: UNKNOWN. IT WAS REPORTED THE DOCTOR DEVELOPED A RASH AFTER USING THE PRODUCT. PER EMAIL: DR. (ORTHO SURGEON) HAS DEVELOPED A RASH ON HIS HANDS, WHEN HE USES THIS PRODUCT. THIS RASH HAS JUST STARTED RECENTLY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 519548 | BD E-Z SCRUB | BD E-Z SCRUB¿ IMPREGNATED PREOPERATIVE SCRUB BRUSHES (WITH 4% CHG) - CANADA | GEC | CAREFUSION, INC | UNKNOWN |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |