FDA Adverse Event
Injury
Summary report: N
CAVICIDE
MDR report key: 2437325
·
Received February 2, 2012
Report
- Report Number
- 1722021-2012-00003
- Event Type
- Injury
- Date Received
- February 2, 2012
- Date of Event
- February 22, 2011
- Report Date
- February 24, 2011
- Manufacturer
- METREX RESEARCH CORPORATION
- Product Code
- LRJ
- PMA / PMN Number
- K951123
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MI, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
THE COMPLAINANT ALLEGED THAT THE CAVICIDE SPRING FRESH GENERATED SYMPTOMS OF SEVERE ASTHMA, ALTHOUGH SHE DOES NOT HAVE A SEVERE CASE OF ASTHMA. THE COMPLAINANT USED A PRO-AIR ALBUTEROL INHALER FROM THE FIRST AID KIT IN THE OFFICE IN ORDER TO ALLEVIATE THE SYMPTOMS. TO DATE, THE COMPLAINANT HAS MILD SYMPTOMS OF ASTHMA FOR WHICH SHE USES A DAILY ALBUTEROL INHALER.
Description of Event or Problem · 1
TWO (2) COMPLAINANTS REPORTED THAT THEY EXPERIENCED SYMPTOMS OF SEVERE ASTHMA AND DEVELOPED BUMPS IN THE BACK OF THEIR THROAT AFTER USING CAVICIDE SPRING FRESH. THIS IS THE FIRST OF TWO (2) REPORTS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CAVICIDE | DISINFECTANT, MEDICAL DEVICES | LRJ | METREX RESEARCH CORPORATION | 10-2302 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |