FDA Adverse Event Other Summary report: N

CIDEX OPA SOLUTION

MDR report key: 628568 · Received August 19, 2005

Report

Report Number
2084725-2005-00221
Event Type
Other
Date Received
August 19, 2005
Report Date
December 4, 2001
Manufacturer
ADVANCED STERILIZATION PRODUCTS
Product Code
LRJ
Removal / Correction Number
Z0051-05
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AL, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

PT REPORTED SYMPTOMS OF HEADACHES, RESPIRATORY CONGESTION AND BRONCHITIS IN THE AREA WHERE THE CIDEX OPA WAS USED. MEDICAL ATTENTION WAS SOUGHT AND A CHEST X-RAY WAS DONE. IT WAS FOUND THAT THE VENTILATION SYSTEM HAD MALFUNCTIONED, IT WAS FIXED BY MAINTENANCE AND THE SITUATION IMPROVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 CIDEX OPA SOLUTION DISINFECTANT LRJ ADVANCED STERILIZATION PRODUCTS 20390 UNK

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other