SCRUB BRUSH-SPONGE, SURGICAL 4457A

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 05,06 report with the FDA on 2010-04-15 for SCRUB BRUSH-SPONGE, SURGICAL 4457A manufactured by Carefusion.

Event Text Entries

[1299161] Red bumps on healthcare worker's hands.
Patient Sequence No: 1, Text Type: D, B5


[8536237] Since samples were not made available and no lot number was provided, a thorough investigation could not be completed. For each received lot of solution that is used to manufacture the surgical scrub brush sponge, catalog no 4457a, a review of the certificate of analysis and an identification test is performed. Additional finished goods testing are completed on a skip lot basis, which includes a skin irritation study, chemical and microbiological analysis. Review of these test records does not indicate failure of previous lots. Carefusion will continue to monitor and trend this issue and utilize the information as part of our continuous improvement program.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number8030673-2010-00010
MDR Report Key1669100
Report Source05,06
Date Received2010-04-15
Date of Report2010-04-15
Date of Event2010-03-05
Date Mfgr Received2010-03-16
Date Added to Maude2012-03-01
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMICHELE DONATICH
Manufacturer Street1430 WAUKEGAN ROAD
Manufacturer CityMCGAW PARK IL 60085
Manufacturer CountryUS
Manufacturer Postal60085
Manufacturer Phone8478876412
Manufacturer CityMEXICALI
Manufacturer CountryMX
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSCRUB BRUSH-SPONGE, SURGICAL
Generic NameSURGICAL SCRUB BRUSH
Product CodeGEC
Date Received2010-04-15
Model Number4457A
Catalog Number4457A
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerCAREFUSION
Manufacturer AddressMCGAW PARK IL 60085 US 60085


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2010-04-15

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