SKIN-PREP SPRAY 420200

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 2008-12-17 for SKIN-PREP SPRAY 420200 manufactured by Smith & Nephew.

Event Text Entries

[18495229] For approx six months, reporter has applied the same dressing to her client. She has prepared her skin the same way using skin prep spray. In 2008 while spraying skin prep on her client she inhaled at the same time. Reporter started to cough, then she lost her voice and then her breathing became labored. Her pt called 911 and the emts gave her o2 and took her to the er. She stayed in the er for 3-4 hours and was sent home. While at the hosp, she was given steroids and benadryl. She picked her car up from her client's home that night and was told to see her dr the following day.
Patient Sequence No: 1, Text Type: D, B5


[18692089] A sample was not submitted for examination; therefore, this complaint could not be confirmed. A lot number for the product was not provided, thus a review of the mfg records, retains and product testing results cannot be performed. A search of the capa system was performed, revealing nothing pertaining to this issue. A search within the complaint system found that this was an isolated incident. The product msds states the following "high air concentration may cause mild eye, nose and throat irritation. Prolonged inhalation may cause drowsiness, headache and mild narcosis. " the root cause is for this issue is accidental inhalation of the product. The ramr file was reviewed and inhalation is listed at a frequency of one in 10 million occurrences. As this is an isolated incident and no other reports of a similar nature were found, this occurrence is within the expected frequency. Safety testing and msd's are kept on all the raw materials used in the mfr of skin prep spray. Any future complaints related to this product will be tracked and trended, and should a significant trend of this issue occur corrective action will take place at that time.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1017593-2008-00013
MDR Report Key1272976
Report Source05
Date Received2008-12-17
Date of Report2008-12-15
Date of Event2008-11-18
Date Added to Maude2009-01-08
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 ContactTERRY MCMAHON
Manufacturer Street11775 STARKEY RD
Manufacturer CityLARGO FL 33773
Manufacturer CountryUS
Manufacturer Postal33773
Manufacturer Phone7273921261
Manufacturer G1SMITH & NEPHEW INC., WOUND MANAGEMENT
Manufacturer Street11775 STARKEY RD.
Manufacturer CityLARGO FL 33773
Manufacturer CountryUS
Manufacturer Postal Code33773
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSKIN-PREP SPRAY
Generic NameNEC (BANDAGE, LIQUID, SKIN PROTECTANT)
Product CodeKOY
Date Received2008-12-17
Model Number420200
Catalog Number420200
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSMITH & NEPHEW
Manufacturer AddressLARGO FL US


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2008-12-17

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