FDA Adverse Event
Malfunction
Summary report: N
ACECIDE-C
MDR report key: 15371298
·
Received September 6, 2022
Report
- Report Number
- MW5111892
- Event Type
- Malfunction
- Date Received
- September 6, 2022
- Date of Event
- August 31, 2022
- Report Date
- September 2, 2022
- Manufacturer
- BEST SANITIZERS, INC.
- Product Code
- MED
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- WV, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
REOCCURRENCE OF LEAKING ACECIDE-C PRODUCT AFTER BEING SHIPPED BY (B)(6) TO FACILITY. UPON RECEIPT, FOUND 4 OF 6 PACKAGES LEAKING WITHIN PLASTIC WRAPPERS. OLYMPUS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1665651 | ACECIDE-C | STERILANT, MEDICAL DEVICES | MED | BEST SANITIZERS, INC. | |||
| 1665652 | ACECIDE-C | STERILANT, MEDICAL DEVICES | MED | BEST SANITIZERS, INC. | |||
| 1665653 | ACECIDE-C | STERILANT, MEDICAL DEVICES | MED | BEST SANITIZERS, INC. | |||
| 1665654 | ACECIDE-C | STERILANT, MEDICAL DEVICES | MED | BEST SANITIZERS, INC. | 22178ACE |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | Other |