FDA Adverse Event Injury Summary report: N

IRRISEPT ANTIMICROBIAL WOUND LAVAGE

MDR report key: 23486044 · Received November 6, 2025

Report

Report Number
3005706359-2025-00004
Event Type
Injury
Date Received
November 6, 2025
Date of Event
October 2, 2025
Report Date
November 5, 2025
Manufacturer
IRRIMAX CORPORATION
Product Code
FQH
PMA / PMN Number
K210536
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NZ
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THROUGH ADDITIONAL EFFORTS, NO ADDITIONAL INFORMATION HAS BEEN MADE AVAILABLE REGARDING THE REPORTED EVENT OR IDENTIFICATION OF THE SPECIFIC PRODUCT/LOT NUMBER TO ALLOW FURTHER INVESTIGATION. THIS REPORT IS BASED UPON INFORMATION PROVIDED TO THE MANUFACTURER. BLANK FIELDS INDICATE THAT THE INFORMATION WAS NOT PROVIDED BY PHYSICIAN REPORTING THE EVENT, WAS NOT AVAILABLE, OR WAS NOT APPLICABLE. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION TO OR CONCLUSION BY FDA, THE MANUFACTURER, OR ITS EMPLOYEES OR AGENTS THAT THE DEVICE, THE MANUFACTURER, OR ITS EMPLOYEES OR AGENTS CAUSED, CONTRIBUTED IN ANY WAY TO, OR ANY WAY IS CONNECTED WITH THE EVENT(S) DESCRIBED IN THIS REPORT. THE PREVIOUS PARAGRAPH SHALL BE INCLUDED IN ANY INFORMATION OR REPORT DISCLOSED TO THE PUBLIC INCLUDING INFORMATION OR REPORTS PROVIDED UNDER THE FREEDOM OF INFORMATION ACT.

Description of Event or Problem · 0

PHYSICIAN REPORTED THAT, AFTER DISCHARGE FROM THE HOSPITAL, A PATIENT EXPERIENCED UPPER BODY RASH SPREADING FROM THE SURGICAL WOUND SITE. THE PHYSICIAN BELIEVES THE RASH MAY HAVE BEEN CAUSED BY THE USE OF EITHER ISEPT-500-INT OR ISEPT-150-INT DURING THE PROCEDURE.

Description of Event or Problem · 0

PHYSICIAN REPORTED THAT, AFTER DISCHARGE FROM THE HOSPITAL, A PATIENT EXPERIENCED UPPER BODY RASH SPREADING FROM THE SURGICAL WOUND SITE. THE PHYSICIAN BELIEVES THE RASH MAY HAVE BEEN CAUSED BY THE USE OF EITHER ISEPT-450-USA OR ISEPT-150-USA DURING THE PROCEDURE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2693407 IRRISEPT ANTIMICROBIAL WOUND LAVAGE JET LAVAGE FQH IRRIMAX CORPORATION ISEPT-500-INT / ISEPT-150-INT UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Required Intervention