GABAUER'S FLURO-ETHYL 0386-0002-20

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05 report with the FDA on 2008-08-15 for GABAUER'S FLURO-ETHYL 0386-0002-20 manufactured by Gebauer Co..

Event Text Entries

[21255060] A unit of gebauer's fluro-ethyl malfunctioned and the skin refrigerant sprayed out from the side of the valve instead of spraying from the product's actuator. Fluro-ethyl is provided in an aerosol container and consists of a can, valve and actuator. The malfunctioning unit sprayed sideways as well as spraying in the normal inverted position. The product was intended to be sprayed on the pt's upper arm prior to an injection, but the malfunctioning spray contacted the pt's neck and ear. No injury was reported as a result of the malfunctioning unit. The product is intended to contact the skin and normal instructions for use, is to spray the product on the skin for 2 to 3 seconds for pre-injection anesthesia. Inadvertent spraying of the skin for 2 to 3 seconds would not cause an injury. If the malfunction were to reoccur, and the product inadvertently sprayed into the eyes there could be resulting injury. It is unlikely that short contact of the skin refrigerant with the eyes would result in a serious injury but it could possibly occur. Gebauer reviewed other complaints of inadvertent spraying in the eyes with functioning product and no serious injuries were reported. Injuries of spraying in the eyes is most likely to result in an injury that is temporary and reversible.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1519179-2008-00001
MDR Report Key1150884
Report Source05
Date Received2008-08-15
Date of Report2008-08-14
Date of Event2008-07-14
Date Mfgr Received2008-07-14
Device Manufacturer Date2007-08-01
Date Added to Maude2010-04-14
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer Street4444 E. 153RD STREET
Manufacturer CityCLEVELAND OH 44128
Manufacturer CountryUS
Manufacturer Postal44128
Manufacturer Phone2165813030
Single Use3
Remedial ActionRL
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameGABAUER'S FLURO-ETHYL
Generic NameFLURO-ETHYL
Product CodeMLY
Date Received2008-08-15
Model Number0386-0002-20
Catalog Number0386-0002-20
Lot Number7010
Device Expiration Date2009-08-30
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerGEBAUER CO.
Manufacturer AddressCLEVELAND OH US


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2008-08-15

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