FDA Adverse Event Other Summary report: N

CIDEX OPA SOLUTION

MDR report key: 629148 · Received August 24, 2005

Report

Report Number
2084725-2005-00165
Event Type
Other
Date Received
August 24, 2005
Date of Event
February 17, 2004
Report Date
February 17, 2004
Manufacturer
ADVANCED STERILIZATION PRODUCTS
Product Code
LRJ
Removal / Correction Number
Z0051-05
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

CUSTOMER CALLS INDICATING CUSTOMER SENT 4 EMPLOYEES TO ER WITH FACIAL, NECK, AND BODY RASHES. THEY ARE ITCHING, PUFFY, BRIGHT RED LIKE WIND BURNED SKIN. ER DR DIAGNOSED AS ALLERGIC REACTION. NO KNOWN TREATMENT REC'D. NO USER SPECIFICS WERE REC'D FOR THIS INCIDENT.

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