FDA Adverse Event Injury Summary report: N

RAPICIDE PA HIGH LEVEL DISINFECTANT

MDR report key: 12725401 · Received October 30, 2021

Report

Report Number
2150060-2021-00025
Event Type
Injury
Date Received
October 30, 2021
Date of Event
October 1, 2021
Report Date
October 30, 2021
Manufacturer
MEDIVATORS INC
Product Code
FEB
UDI-DI
00677964090172
PMA / PMN Number
K082988
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

IT IS UNKNOWN HOW THE DISINFECTANT CAME INTO CONTACT WITH THE EMPLOYEE'S SKIN. THE DURATION OF THE REPORTED SKIN REDNESS AND IRRITATION WAS NOT PROVIDED. FOLLOWING THE EVENT, THE USER CONTACTED CHEMTREC AND WAS PROVIDED THE RAPICIDE PA PART A SDS. THE EMPLOYEE SOUGHT MEDICAL ATTENTION AND A BANDAGE TO THE AFFECTED AREA WAS APPLIED. NO FURTHER MEDICAL INTERVENTION WAS REQUIRED. IT IS NOT KNOWN IF THE USER WAS WEARING PROPER PPE AT THE TIME OF THE REPORTED EVENT. THE RAPICIDE PA PART A SDS PROVIDES THE FOLLOWING WARNING LANGUAGE AND GUIDANCE, RELATED TO SKIN EXPOSURE AND PPE USAGE: "CAUSES SEVERE SKIN BURNS AND EYE DAMAGE. WASH HANDS THOROUGHLY AFTER HANDLING. WEAR PROTECTIVE GLOVES/PROTECTIVE CLOTHING/EYE PROTECTION/FACE PROTECTION...IF ON SKIN (OR HAIR): RINSE SKIN WITH WATER/SHOWER." NO ADDITIONAL REPORTS OF ADVERSE EVENT OR HARM WERE RECEIVED. MEDIVATORS WILL CONTINUE TO MONITOR FOR SIMILAR EVENTS TO ENSURE THE PRODUCT CONTINUES TO PERFORM AS EXPECTED.

Description of Event or Problem · 1

A USER FACILITY REPORTED THAT RAPICIDE PA HIGH-LEVEL DISINFECTANT PART A SPLASHED ON AN EMPLOYEE'S FOREARM. THE EMPLOYEE EXPERIENCED REDNESS AND RAISING OF THE SKIN. THE EMPLOYEE WASHED THE AFFECTED AREA. THE EMPLOYEE WAS REPORTED TO BE WEARING GLOVES, BUT IT IS UNKNOWN IF OTHER PERSONAL PROTECTIVE EQUIPMENT (PPE) WAS WORN AT THE TIME OF THE EXPOSURE. NO ADDITIONAL REPORTS OF INJURY WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1623228 RAPICIDE PA HIGH LEVEL DISINFECTANT HIGH LEVEL DISINFECTANT FEB MEDIVATORS INC ML02-0117 00677964090172

Patients

Seq Age Sex Outcome Treatment
1