FDA Adverse Event Summary report: N

CV MEDICATED LOTION SOAP

MDR report key: 1891402 · Received November 4, 2010

Report

Report Number
1937531-2010-00004
Date Received
November 4, 2010
Date of Event
October 5, 2010
Report Date
November 4, 2010
Manufacturer
STERIS CORPORATION
Product Code
LRJ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NM, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

CV MEDICATED LOTION SOAP LABELING STATES, "WARNING: FOR EXTERNAL USE ONLY," AND IS TO BE USED FOR WASHING THE HANDS ONLY. STERIS OFFERED TO CONDUCT IN-SERVICE TRAINING REGARDING THE PROPER USE OF THE CV MEDICATED LOTION SOAP HOWEVER THE DOCTOR DECLINED. STERIS WILL SUBMIT AN UPDATED REPORT SHOULD ADDITIONAL INFORMATION BECOME AVAILABLE.

Description of Event or Problem · 1

A PATIENT REPORTED THAT A DOCTOR USED CV MEDICATED LOTION SOAP INSTEAD OF LUBRICANT ON HER DURING A PELVIC EXAMINATION AFTER SURGERY HAD BEEN COMPLETED THE DAY PRIOR, CAUSING BURNING AND PAIN. HOSPITAL PERSONNEL FLUSHED THE AFFECTED AREA WITH WATER. THE PATIENT REPORTED THE BURNING DISSIPATED APPROXIMATELY TWO HOURS LATER. THE PATIENT REMAINS ON MEDICAL LEAVE AS A RESULT OF THE SURGERY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CV MEDICATED LOTION SOAP MEDICATED SOAP LRJ STERIS CORPORATION 4704512

Patients

Seq Age Sex Outcome Treatment
1 Other