BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNKNOWN CHLORAPREP

    MDR report key: 11730074 · Received April 26, 2021

    Report

    Report Number
    3004932373-2021-00216
    Event Type
    Injury
    Date Received
    April 26, 2021
    Date of Event
    April 12, 2021
    Report Date
    April 27, 2021
    Manufacturer
    CAREFUSION 213, LLC 0113
    Product Code
    OJU
    PMA / PMN Number
    EXEMPT
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    SC, US
    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.: UNKNOWN, BATCH NO.: UNKNOWN. IT WAS REPORTED REPLASING LESIONS OF THE GROIN AND THIGH WHILE USING CHLORHEXIDINE. PER ARTICLE: OF NOTE, SIMILARLY APPEARING, RELAPSING LESIONS OF THE GROIN AND THIGH PROGRESSIVELY WORSENED OVER THE PAST 4 MONTHS DESPITE THE USE OF KETOCONAZOLE CREAM, TOPICAL CHLORHEXIDINE, AND CLINDAMYCIN SWABS AS WELL AS NUMEROUS COURSES OF ANTIBIOTICS FOR ESCHERICHIA COLI URINARY TRACT INFECTIONS AND BACTEREMIA.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    618533 UNKNOWN CHLORAPREP 2% W/V CHLORHEXIDINE GLUCONATE/70% V/V ISOPROPYL ALCOHOL OJU CAREFUSION 213, LLC 0113 UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 61 YR Other