FDA Adverse Event Summary report: N

RAPICIDE OPA 28

MDR report key: 3812340 · Received May 15, 2014

Report

Report Number
2150060-2014-00016
Date Received
May 15, 2014
Date of Event
April 17, 2014
Report Date
May 9, 2014
Manufacturer
MEDIVATORS
Product Code
MED
PMA / PMN Number
K120306
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CASE STATES THAT THIS FACILITY WERE COLD SOAKING NASAL CANNULA'S USED FOR NITROUS OXIDE DELIVERY USING RAPICIDE OPA 28 HIGH LEVEL DISINFECTANT. AFTER MEDIVATORS INVESTIGATION INTO THIS COMPLAINT, IT WAS DISCOVERED THAT NONE OF THE NASAL CANNULAS WERE BEING RINSED AT ALL. IT WAS REPORTED THERE WERE TWO DEFINITE AND ONE MAY BE PATIENTS AFFECTED BY THE CHEMICAL EXPOSURE AND HAD A REACTION ON THEIR NOSE AND CHEEKS. MEDIVATORS PRINCIPAL TECHNICAL SPECIALIST CONTACTED THIS FACILITY AND DISCOVERED THE FACILITY'S PROCEDURE WAS INCORRECT. THEY ARE NOW AWARE OF THE IMPORTANCE OF RINSING THE CHEMISTRY OFF THE NASAL CANNULAS PRIOR TO USE ON PATIENTS. THERE IS LIMITED INFORMATION REGARDING THE PATIENTS AFFECTED. TO DATE, THERE ARE NO REPORTS OF PROLONGED INJURY OR ILLNESS OR ADDITIONAL MEDICAL ATTENTION BEING SOUGHT KNOWN BY THE MANUFACTURER, MEDIVATORS. MEDIVATORS WILL CONTINUE TO MONITOR THIS COMPLAINT.

Description of Event or Problem · 1

FACILITY NOT RINSING NASAL CANNULAS USED ON PATIENTS ON NITROUS. PATIENT CHEMICAL REACTION REPORTED. 3 PATIENTS COMPLAINED OF BROWN SPOTS AND BUMPS ON THEIR NOSE AND/OR CHEEKS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
291951 RAPICIDE OPA 28 HIGH LEVEL DISINFECTANT MED MEDIVATORS ML02-0127

Patients

Seq Age Sex Outcome Treatment
1