BEUDAMED
    FDA Adverse Event Other Summary report: N

    MEDAPHENE SCRUBS DISINFECTANT DEODORANT WIPES

    MDR report key: 612990 · Received July 16, 2004

    Report

    Report Number
    1933887-2004-00001
    Event Type
    Other
    Date Received
    July 16, 2004
    Date of Event
    June 17, 2004
    Report Date
    July 16, 2004
    Manufacturer
    ITW DYMON
    Product Code
    LRJ
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    A CUSTOMER COMPLAINED OF GETTING A NOSEBLEED WHILE USING THE PRODUCT TO CLEAN THEIR BATHROOM.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDAPHENE SCRUBS DISINFECTANT DEODORANT WIPES TOWEL PRODUCT LRJ ITW DYMON NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR Other