FDA Adverse Event Other Summary report: N

CYTOLYT SOLUTION

MDR report key: 1289488 · Received January 14, 2009

Report

Report Number
1222780-2009-00014
Event Type
Other
Date Received
January 14, 2009
Date of Event
December 10, 2008
Report Date
January 13, 2009
Manufacturer
HOLOGIC INC. (CYTYC CORPORATION)
Product Code
MKQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
GR
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

AS PER COMPLAINT RECEIVED FROM (B) (6), AT APPROXIMATELY 13:00 PM, DR. (B) (6) INFORMED MR (B) (4), SALES REPRESENTATIVE OF (B) (4), ABOUT THE FOLLOWING INCIDENT AT (B) (6) HOSPITAL: A FEMALE PATIENT VISITED THE HOSPITAL, IN ORDER TO HAVE A URINE CYTOLOGY TEST. IN ORDER TO PROCEED WITH THE TEST, THE RESPONSIBLE NURSE PROVIDED THE PATIENT WITH THE CYTOLYT SOLUTION. INSTEAD OF URINATING IN THE CONTAINER, HOWEVER, THE PATIENT INGESTED APPROXIMATELY 2/3 OF THE CYTOLYT SOLUTION. FOLLOWING COMMUNICATION WITH MRS. (B) (6), MR. (B) (4) CONTACTED (B) (4) AND PASSED ON THIS INFORMATION TO MRS. (B) (4), BUSINESS UNIT MANAGER OF CYTYC IN (B) (4) AND TO MRS. (B) (4), PHARMACO/MD VIGILANCE, RESPONSIBLE PERSON AT (B) (4). PATIENT WAS HOSPITALIZED AND A TREATMENT WAS REQUIRED. GASTRIC LAVAGES WERE PERFORMED AT (B) (6) HOSPITAL, AS WELL AS (B) (6) HOSPITAL, WHERE THE PATIENT WAS TRANSFERRED LATER THAT DAY FOR MEDICAL AID. PER LATEST INFORMATION RECEIVED FROM (B) (4) TODAY, PATIENT IS RECOVERED AND SHE WILL BE KEPT UNDER OBSERVATION IN THE HOSPITAL FOR SAFETY REASONS UNTIL TOMORROW.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CYTOLYT SOLUTION REAGENT FOR CYTOLOGY SLIDE PREPARATION MKQ HOLOGIC INC. (CYTYC CORPORATION) NA NI

Patients

Seq Age Sex Outcome Treatment
1 Hospitalization