FDA Adverse Event
Malfunction
Summary report: N
ACECIDE-C
MDR report key: 15371324
·
Received September 6, 2022
Report
- Report Number
- MW5111893
- Event Type
- Malfunction
- Date Received
- September 6, 2022
- Date of Event
- August 23, 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
LEAKING CASE OF ACECIDE-C RECEIVED FROM (B)(6). LEAKAGE HAD BEEN DETECTED BY (B)(6) AND WAS REPACKAGED BY THEM AND SHIPMENT CONTINUED TO DESTINATION. LEAKAGE WAS NOT DETECTED BY RECEIVING FACILITY UNTIL OUTER REPACKAGING WAS OPENED. OLYMPUS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1665655 | ACECIDE-C | STERILANT, MEDICAL DEVICES | MED | BEST SANITIZERS, INC. | 22174ACE |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown | Other |