FDA Adverse Event Injury Summary report: N

CHLORAPREP UNKNOWN

MDR report key: 11709745 · Received April 22, 2021

Report

Report Number
3004932373-2021-00212
Event Type
Injury
Date Received
April 22, 2021
Date of Event
April 8, 2021
Report Date
April 9, 2021
Manufacturer
CAREFUSION 213, LLC 0113
Product Code
KXF
PMA / PMN Number
EXEMPT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

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). NO ADDITIONAL INFORMATION WAS PROVIDED BY THE BD REPRESENTATIVE. PRIMEVIGILANCE DID REACH OUT TO OBTAIN MORE INFORMATION WITH NO SUCCESS. SHOULD ADDITIONAL INFORMATION BE AVAILABLE IN THE FUTURE, THE COMPLAINT WILL BE RE-OPENED AND INVESTIGATED. ALL COMPLAINTS ARE REVIEWED DURING MONTHLY QUALITY/SAFETY MEETINGS. IN ADDITION, COMPLAINTS ARE TRENDED AT MONTHLY QUALITY DATA ANALYST MEETINGS AND QUARTERLY PLANT MANAGEMENT REVIEW MEETINGS.

Description of Event or Problem · 1

IT WAS REPORTED THAT CHLORAPREP WAS USED ON PATIENT'S EYE AND THE CORNEA WAS CLOUDY UNDER THE MICROSCOPE. PER MIQ REPORT: A BD EMPLOYEE (CLINICAL CONSULTANT - BIOSURGERY DIVISION/INFECTION PREVENTION) CALLED TO REPORT AN ADVERSE EVENT THAT SHE HEARD ABOUT FROM AN NHS EMPLOYEE (L.F., CONTACT DETAILS PROVIDED). A PATIENTS EYE WAS CLEANED WITH CHLORAPREP. IMMEDIATE IRRIGATION OF THE EYE UPON REALIZING THE CORNEA WAS CLOUDY UNDER THE MICROSCOPE. NO FURTHER INFORMATION WAS AVAILABLE, BUT THE BD EMPLOYEE DID FOLLOW-UP WITH THE REPORTER HERSELF AND SHE THINKS THIS MEANS THAT HE GRANTED CONSENT FOR FOLLOW-UP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
605509 CHLORAPREP UNKNOWN 2% W/V CHLORHEXIDINE GLUCONATE/70% V/V ISOPROPYL ALCOHOL KXF CAREFUSION 213, LLC 0113 UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 Other