BEUDAMED
    FDA Adverse Event Injury Summary report: N

    NUM TOPICAL ANESTHETIC SPRAY NUM SPRAY

    MDR report key: 21943907 · Received May 1, 2025

    Report

    Report Number
    MW5169722
    Event Type
    Injury
    Date Received
    May 1, 2025
    Date of Event
    March 13, 2025
    Report Date
    April 24, 2025
    Manufacturer
    623 MEDICAL
    Product Code
    MLY
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WA, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    NUM SPRAY APPLIED TO BACK OF RIGHT ARM ABOUT 2 WEEKS AGO PRIOR TO INJECTION. PATIENT NOW HAS A WHITE SKIN DISCOLORATION SPOT AT THE SITE WHERE SPRAY WAS APPLIED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    208460 NUM TOPICAL ANESTHETIC SPRAY NUM SPRAY VAPOCOOLANT DEVICE MLY 623 MEDICAL

    Patients

    Seq Age Sex Outcome Treatment
    1 16 YR Female Other