FDA Adverse Event Injury Summary report: N

CYTOLYT SOLUTION

MDR report key: 4944954 · Received July 24, 2015

Report

Report Number
1222780-2015-00131
Event Type
Injury
Date Received
July 24, 2015
Date of Event
January 1, 2015
Report Date
July 24, 2015
Manufacturer
HOLOGIC INC.
Product Code
MKQ
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

A NURSE FROM THE (B)(6) REPORTED A (B)(6) (BOY) INGESTED HALF OF A VIAL CYTOLYT SOLUTION. HOLOGIC'S TECHNICAL SERVICE PERSONNEL PROVIDED THE NURSE WITH THE CONCENTRATION OF METHANOL IN VIAL. NURSE REPORTED THAT THE CHILD IS BEING TREATED AT A HOSPITAL AND THAT THE INCIDENT TOOK PLACE AT A DR'S OFFICE. HOLOGIC'S TECHNICAL SERVICE PERSONNEL FOLLOWED UP WITH NURSE. THE CHILD WAS GIVEN A BLOCKING AGENT AND CHECKED FOR METHANOL LEVEL. METHANOL LEVEL PROVED TO BE NEGATIVE AND THE CHILD WAS DISCHARGED FROM HOSPITAL. THIS IS A REPORTABLE EVENT IN THE UNITED STATES SINCE INGESTING CYTOLYT SOLUTION COULD RESULT IN A POTENTIALLY SERIOUS INJURY OR ILLNESS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
483422 CYTOLYT SOLUTION CYTOLYT MKQ HOLOGIC INC.

Patients

Seq Age Sex Outcome Treatment
1 2 YR Hospitalization