BEUDAMED
    FDA Adverse Event Injury Summary report: N

    RENAL SCIENTIFIC REUSE CART

    MDR report key: 142151 · Received December 23, 1997

    Report

    Report Number
    142151
    Event Type
    Injury
    Date Received
    December 23, 1997
    Date of Event
    July 9, 1997
    Report Date
    July 18, 1997
    Manufacturer
    RENAL SCIENTIFIC SERVICES
    Product Code
    LIF
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    HOSE DETACHED FROM REUSE CART, SPRAYING EMPLOYEE IN THE FACE AND EYES WITH A SOLUTION OF 1% FORMALDEHYDE AND WATER. THE EMPLOYEE EXPERIENCED BURNING AND STINGING IN THE EYES. SHE FLUSHED HER EYES WITH WATER AND LATER WENT TO AN OCCUPATIONAL HEALTH CLINIC FOR EXAMINATION. SHE WAS RELEASED FOR WORK AND RETURNED TO WORK LATER THAT DAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 RENAL SCIENTIFIC REUSE CART 10 STATION REUSE CART LIF RENAL SCIENTIFIC SERVICES NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 32 YR Required Intervention