BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ALCOHOL PREP

    MDR report key: 276017 · Received April 26, 2000

    Report

    Report Number
    276017
    Event Type
    Injury
    Date Received
    April 26, 2000
    Date of Event
    February 7, 2000
    Report Date
    March 29, 2000
    Manufacturer
    CLINIPAD CORP.
    Product Code
    LKB
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    PT PRESENTED TO EMERGENCY ROOM WITH INFECTION CULTURED AS PSEUDOMONAS AERUGINOSA AFTER PROCEDURE PERFORMED ON RIGHT FOOT. PT HAD RECEIVED CLINIPAD ALCOHOL PREP PRIOR TO INJECTION OF PRE-OP LOCAL INFILTRATION OF MEDS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ALCOHOL PREP * LKB CLINIPAD CORP. * 919245

    Patients

    Seq Age Sex Outcome Treatment
    1 37 YR Required Intervention