BEUDAMED
    FDA Adverse Event Injury Summary report: N

    CAVICIDE1

    MDR report key: 3974020 · Received August 1, 2014

    Report

    Report Number
    1722021-2014-00013
    Event Type
    Injury
    Date Received
    August 1, 2014
    Report Date
    July 9, 2014
    Manufacturer
    METREX RESEARCH
    Product Code
    LRJ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    HEALTH PROFESSIONAL

    Narratives

    Additional Manufacturer Narrative · 1

    THE EMPLOYEE ALLEGED SHE HAD EXPERIENCED UNSPECIFIED RESPIRATORY DISCOMFORT. THE EMPLOYEE SOUGHT FURTHER MEDICAL ATTENTION FROM A DOCTOR. THE DOCTOR DIAGNOSED THE EMPLOYEE WITH OCCUPATIONAL ASTHMA; HOWEVER, NO TREATMENT INFORMATION WAS PROVIDED. THE EMPLOYEE DISCONTINUED USE OF THE PRODUCT. TO DATE, THE EMPLOYEE HAS FULLY RECOVERED. THE PRODUCT INVOLVED IN THE ALLEGED INCIDENT WAS NOT RETURNED AND NO LOT NUMBER WAS PROVIDED; THEREFORE, NO EVALUATION CAN BE CONDUCTED.

    Description of Event or Problem · 1

    A COMPLAINANT ALLEGED THAT TWO (2) EMPLOYEES HAD EXPERIENCED RESPIRATORY DISCOMFORT AND SOUGHT MEDICAL ATTENTION AFTER EXPOSURE TO THE CAVICIDE1 SPRAY. THIS IS THE SECOND OF TWO (2) REPORTS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    451022 CAVICIDE1 DISINFECTANT, MEDICAL DEVICES LRJ METREX RESEARCH

    Patients

    Seq Age Sex Outcome Treatment
    1 40 YR Other| R