FDA Adverse Event
Injury
Summary report: N
RED MEDICAL SUPPLIES, MEDIU VISCOSTY, ULTRASOUND GEL, BLUE COLOR
MDR report key: 12318381
·
Received August 12, 2021
Report
- Report Number
- MW5103226
- Event Type
- Injury
- Date Received
- August 12, 2021
- Date of Event
- June 10, 2021
- Report Date
- August 11, 2021
- Manufacturer
- ECO-MED PHARMACEUTICALS, INC.
- Product Code
- ITX
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- NY, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
AFTER USING THE TWO BOTTLES OF BLUE COLOR (ULTRASOUND GEL), I BECAME HOSPITALIZED WITH A BACTERIAL INFECTION THAT SPREAD TO MY BLOOD. I WAS ADMITTED FOR SEVERAL DAYS AND WAS DIAGNOSED WITH SEPSIS. I AM STILL UNDER THE CARE OF A PHYSICIAN. I AM STILL BEING TREATED AND MONITORED AS A RESULT OF USING THIS "PRODUCTED."
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1212276 | RED MEDICAL SUPPLIES, MEDIU VISCOSTY, ULTRASOUND GEL, BLUE COLOR | TRANSDUCER, ULTRASONIC, DIAGNOSTIC | ITX | ECO-MED PHARMACEUTICALS, INC. | B030 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 39 YR | Hospitalization |