FDA Adverse Event
Other
Summary report: N
ETHYL CHLORIDE SPRAY TOPICAL ANESTHETIC BOTTLE 3.5 FL. OZ
MDR report key: 5350376
·
Received January 5, 2016
Report
- Report Number
- MW5058987
- Event Type
- Other
- Date Received
- January 5, 2016
- Manufacturer
- GEBAUER COMPANY
- Product Code
- MLY
- Report Source
- Voluntary report
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
PATIENT PRESENTED TO CLINIC FOR A STEROID INJECTION INTO A JOINT. THE PHYSICIAN WAS PREPARING TO APPLY ETHYL CHLORIDE TO THE SKIN SITE. SHE HEARD A FAINT HISSING SOUND AND THEN THE TOP PIECE OF THE ETHYL CHLORIDE BOTTLE (THE SMALL BLACK PIECE THAT IS ATTACHED TO THE METAL SPRAY TRIGGER) DISLOCATED FROM THE LARGER BLACK SCREW TOP PIECE OF THE BOTTLE. THE PIECE SHOT INTO THE AIR AND HIT THE PATIENT ON THE FOREHEAD. THE PATIENT WAS NOT INJURED. PATIENT COUNSELING PROVIDED: (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 5612 | ETHYL CHLORIDE SPRAY TOPICAL ANESTHETIC BOTTLE 3.5 FL. OZ | ETHYL CHLORIDE SPRAY TOPICAL ANESTHETIC BOTTLE 3.5 FL. OZ | MLY | GEBAUER COMPANY |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |