FDA Adverse Event
Malfunction
Summary report: N
ACECIDE C HIGH LEVEL DISINFECTANT AND STERILANT
MDR report key: 12614635
·
Received October 12, 2021
Report
- Report Number
- 12614635
- Event Type
- Malfunction
- Date Received
- October 12, 2021
- Date of Event
- October 5, 2021
- Report Date
- October 5, 2021
- Manufacturer
- BEST SANITIZERS, INC.
- Product Code
- MED
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MO
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
STRONG CHEMICAL ODOR IN SUPPLY ROOM. PRODUCT FOUND IN ORIGINAL SEALED PACKAGING. CHEMICAL FOUND LEAKING IN SEALED PACKAGING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1513731 | ACECIDE C HIGH LEVEL DISINFECTANT AND STERILANT | STERILANT, MEDICAL DEVICES | MED | BEST SANITIZERS, INC. | 220731 | 21189ACE |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |