BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CAVICIDE

    MDR report key: 1604860 · Received February 18, 2010

    Report

    Report Number
    1722021-2010-00001
    Event Type
    Injury
    Date Received
    February 18, 2010
    Report Date
    January 19, 2010
    Manufacturer
    METREX RESEARCH CORPORATION
    Product Code
    LRJ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CO, US
    Reporter Occupation
    DENTAL ASSISTANT

    Narratives

    Additional Manufacturer Narrative · 1

    ON JANUARY 19, THE COMPLAINANT REPORTED THAT AFTER CAVICIDE WAS SPRAYED ONTO A COUNTERTOP, SHE ACCIDENTALLY INHALED SOME OF THE PRODUCT WHICH CAUSED HER TO FEEL BURNING IN HER LUNGS AND HAVE DIFFICULTY BREATHING. SHE VISITED HER DOCTOR WHO GAVE HER SAMPLES OF A PRESCRIPTION STEROID INHALER. THE COMPLAINANT CLAIMS THAT SHE NEEDED TO USE THE INHALER FOR FOUR DAYS BEFORE HER SYMPTOMS AND DISCOMFORT SUBSIDED. THE COMPLAINANT IS DOING FINE. THE COMPLAINANT DID NOT RETURN THE PRODUCT TO METREX RESEARCH CORPORATION FOR EVALUATION; HOWEVER, THE DEVICE HISTORY RECORD INDICATED THAT THE PRODUCT WAS WITHIN SPECIFICATION. PRODUCT NOT RETURNED

    Description of Event or Problem · 1

    ON JANUARY 19, 2010, A COMPLAINANT REPORTED THAT AFTER CAVICIDE WAS SPRAYED ONTO A COUNTERTOP, SHE ACCIDENTALLY INHALED SOME OF THE PRODUCT WHICH CAUSED HER TO FEEL BURNING IN HER LUNGS AND HAVE DIFFICULTY BREATHING. SHE VISITED HER DOCTOR WHO GAVE HER SAMPLES OF A PRESCRIPTION STEROID INHALER. THE COMPLAINANT CLAIMS THAT SHE NEEDED TO USE THE INHALER FOR FOUR DAYS BEFORE HER SYMPTOMS AND DISCOMFORT SUBSIDED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CAVICIDE DISINFECTANT, MEDICAL DEVICES LRJ METREX RESEARCH CORPORATION 9-1254

    Patients

    Seq Age Sex Outcome Treatment
    1 Other