BEUDAMED
    FDA Adverse Event Injury Summary report: N

    RAPICIDE PA

    MDR report key: 7009352 · Received November 8, 2017

    Report

    Report Number
    2150060-2017-00047
    Event Type
    Injury
    Date Received
    November 8, 2017
    Date of Event
    October 23, 2017
    Report Date
    November 8, 2017
    Manufacturer
    MEDIVATORS INC.
    Product Code
    FEB
    UDI-DI
    00677964063619
    PMA / PMN Number
    K082988
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WV, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE FACILITY REPORTED THAT AN EMPLOYEE EXPERIENCED EXPOSURE TO RAPICIDE PA PART A HIGH LEVEL DISINFECTANT WHILE TRANSPORTING A BOTTLE OF HLD ON A CART. IT WAS REPORTED THE BOTTLE FELL OFF THE CART AND BROKE, CAUSING THE HLD SOLUTION TO SPLASH ON THE EMPLOYEE'S LEG. THE EXPOSED PERSONNEL IMMEDIATELY FLUSHED THE EXPOSED SKIN AND WENT TO THE FACILITY'S EMPLOYEE HEALTH CENTER TO MONITOR THE BURNING SYMPTOMS. NO FURTHER MEDICAL TREATMENT WAS REQUIRED AND THE AFFECTED PERSONNEL IS REPORTED TO BE FINE. THE FACILITY USED THE PRODUCT SAFETY DATA SHEET AND SPILL KIT TO CLEAN UP THE SPILLED HLD. THE FACILITY'S LOGISTICS DEPARTMENT IS EDUCATING ITS STAFF ON PROPER HANDLING AND STORAGE OF RELATED PRODUCTS. MEDIVATORS WILL CONTINUE TO MONITOR THIS COMPLAINT WITHIN MEDIVATORS COMPLAINT HANDLING SYSTEM.

    Description of Event or Problem · 1

    THE FACILITY REPORTED THAT WHILE AN EMPLOYEE WAS TRANSPORTING A BOTTLE OF RAPICIDE PA PART A HIGH LEVEL DISINFECTANT, THE BOTTLE FELL OFF A CART AND BROKE CAUSING THE HLD TO SPLASH ON HER LEG. THE EXPOSED PERSONNEL EXPERIENCED CHEMICAL EXPOSURE AND BURNING SYMPTOMS FROM THE HLD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    787927 RAPICIDE PA HIGH LEVEL DISINFECTANT FEB MEDIVATORS INC. ML02-0117 00677964063619

    Patients

    Seq Age Sex Outcome Treatment
    1 Other