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