FDA Adverse Event Injury Summary report: N

SALTER LABS

MDR report key: 14793376 · Received June 23, 2022

Report

Report Number
3000219639-2022-00031
Event Type
Injury
Date Received
June 23, 2022
Date of Event
May 24, 2022
Report Date
June 23, 2022
Manufacturer
SALTER LABS
Product Code
CAT
UDI-DI
10607411915779
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

IRRITATION/SORES CAN BE MANIFESTED BY ITCHING, REDNESS, RASH OR IN EXTREME CASES, OPEN SORES. THE SALTER RESPIRATORY CARE PRODUCTS ARE GENERALLY MADE FROM PLASTIC/PVC, WHICH HAS A GOOD SAFETY PROFILE FOR IRRITATION AND SENSITIVITY. A PLASTIC PRODUCT MAY CAUSE IRRITATION/SORES FOR SEVERAL REASONS, INCLUDING, THE DEVICE HAS BEEN CONTAMINATED WITH AN EXTERNAL SUBSTANCE (E.G., MOLD RELEASE AGENT, LOTIONS, MEDICATIONS) WHICH CAUSE IRRITATION/SORES, USING DEVICE FOR TOO LONG (MAY BECOME ROUGH OR BACTERIALLY CONTAMINATED), OR INDIVIDUAL PATIENT-SPECIFIC HYPERSENSITIVITY. IF THE OXYGEN TUBING IS NOT CHANGED OUT ON A REGULAR BASIS OR AS INDICATED ON THE PACKAGING SORES OR IRRITATIONS MAY RESULT. AS THE PATIENT DEVELOPED BURNS THIS IS REPORTABLE.

Additional Manufacturer Narrative · 0

IRRITATION/SORES CAN BE MANIFESTED BY ITCHING, REDNESS, RASH OR IN EXTREME CASES, OPEN SORES. THE SALTER RESPIRATORY CARE PRODUCTS ARE GENERALLY MADE FROM PLASTIC/PVC, WHICH HAS A GOOD SAFETY PROFILE FOR IRRITATION AND SENSITIVITY. A PLASTIC PRODUCT MAY CAUSE IRRITATION/SORES FOR SEVERAL REASONS, INCLUDING, THE DEVICE HAS BEEN CONTAMINATED WITH AN EXTERNAL SUBSTANCE (E.G., MOLD RELEASE AGENT, LOTIONS, MEDICATIONS) WHICH CAUSE IRRITATION/SORES, USING DEVICE FOR TOO LONG (MAY BECOME ROUGH OR BACTERIALLY CONTAMINATED), OR INDIVIDUAL PATIENT-SPECIFIC HYPERSENSITIVITY. IF THE OXYGEN TUBING IS NOT CHANGED OUT ON A REGULAR BASIS OR AS INDICATED ON THE PACKAGING SORES OR IRRITATIONS MAY RESULT. AS THE PATIENT DEVELOPED BURNS THIS IS REPORTABLE. A REVIEW OF COMPLAINTS SUBMITTED OVER THE PREVIOUS 24 MONTHS WAS CONDUCTED FOR PRODUCT GROUP: "9-O2 CANNULA" USING THE SEARCH TERMS "RASH" (4), "IRRITATION" (4), "ALLERG" (4) AND OUT OF THAT TOTAL ONLY 3 OF THOSE COMPLAINTS ARE RELATED TO USE OF THE 16SOFT-7-50. THIS ISSUE DOES NOT APPEAR TO BE TRENDING BASED ON OVERALL SALES AND AN OVERALL 12M CPM TREND THAT IS SHOWING A DOWNWARD TREND. AN INVENTORY SEARCH WAS CONDUCTED AND NO INVENTORY OF THIS LOT # REMAINS IN STOCK. PRODUCT HAS NOT BEEN RETURNED FROM THE CUSTOMER AND THE COMPLAINT IS OVER 30 DAYS OLD SO THE COMPLAINT COULD NOT BE CONFIRMED. DHRS WERE REVIEWED FOR THE COMPONENT PIECES USED IN THIS PRODUCTION. ALL RECORDS INDICATE THE APPROPRIATE MATERIALS WERE USED IN PRODCUTION AND THE IN PROCESS AND QUALITY CHECKS PERFORMED WERE COMPLETED AND DID NOT INDICATE NON-CONFORMANCES THAT WOULD CONTRIBUTE TO THIS COMPLAINT. CALLED THE POINT OF CONTACT IN THE COMPLAINT AND SHE STATED SHE IS ALLERGIC TO A LOT OF THINGS. I SHARED THE MATERIAL OF CONSTRUCTION IN THE CANNULA AND THAT IT IS TESTED FOR IRRITATION AND SENSITIVITY. THE MOST LIKELY ROOT CAUSE IS PATIENT HYPERSENSITIVITY TO THE CANNULA MATERIAL. RMA-20017A REV 2: R3 INDICATES THAT PATIENT EXPOSURE TO SKIN IRRITANT IS A EXTREME (7/10) SEVERITY AND DOES NOT MEET THE THRESHOLD FOR CARB REVIEW.

Description of Event or Problem · 0

CUSTOMER IS ALLERGIC TO CANNULA. CANNULA HAS BURNED CUSTOMERS FACE, EYE BROWS, BACK OF NECK AND EARS.

Description of Event or Problem · 0

CUSTOMER IS ALLERGIC TO CANNULA. CANNULA HAS BURNED CUSTOMERS FACE, EYE BROWS, BACK OF NECK AND EARS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2473248 SALTER LABS ADULT NASAL CANNULA WITH 7' 3-CHANNEL TUBE - 50/CS CAT SALTER LABS 16SOFT-7-50 (10)220223J 10607411915779

Patients

Seq Age Sex Outcome Treatment
1 Unknown Other