FDA Adverse Event Death Summary report: N

STERICARE 0.9% SODIUM CHLORIDE IRRIGATION USP, 250ML

MDR report key: 18358050 · Received December 18, 2023

Report

Report Number
MW5149357
Event Type
Death
Date Received
December 18, 2023
Date of Event
October 21, 2023
Report Date
December 15, 2023
Manufacturer
NURSE ASSIST, LLC
Product Code
NGT
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
MA, US
Reporter Occupation
PATIENT
Health Professional
*

Narratives

Description of Event or Problem · 0

USED THE RECALLED PRODUCT TO CLEAN AN OPEN WOUND ON RIGHT FOOT, AND DEVELOPED AN INFECTION WHICH REQUIRED AN ANTIBIOTIC TO RESOLVE ON (B)(6) 2023. OPEN WOUND TO RIGHT FOOT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2110890 STERICARE 0.9% SODIUM CHLORIDE IRRIGATION USP, 250ML SALINE, VASCULAR ACCESS FLUSH NGT NURSE ASSIST, LLC 6270 23076070

Patients

Seq Age Sex Outcome Treatment
1 71 YR Male Death| R 81MG ASPIRIN | CALCIUM| JANUVISA| LANTUS INSULIN | METFORMIN | MULTIVITAMIN | NOVALOG INSULIN | TRULICITY | VITAMIN E, VITAMIN D