PROLYSTICA 2X CONCENTRATE NEUTRAL DETERGENT

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-10-19 for PROLYSTICA 2X CONCENTRATE NEUTRAL DETERGENT manufactured by Steris Corporation.

Event Text Entries

[57916418] The user facility stated that prior to the reported event, the instruments were soaked with prolystica 2x concentrate neutral detergent. Following the reported event, a steris consumable manager arrived onsite and performed in-service training on the proper use and handling of prolystica 2x concentrate neutral detergent, specifically the correct method for product dilution, rinsing of instruments after soaking, and visual inspection of instruments after rinsing. The prolystica 2x concentrate neutral detergent product label states: "fill sink or basin with warm water to the appropriate level to fully immerse surgical instruments. Dilute chemistry at 1/8 to 1/2 fl. Oz. Per gallon of warm water depending on water quality and soil load. Soak for a minimum of 1-5 minutes. " "all surfaces should be thoroughly rinsed with warm water. Solutions should be discarded daily or when visibly soiled. "
Patient Sequence No: 1, Text Type: N, H10


[57916419] The user facility reported that two patients experienced eye irritation following a procedure. The patients were prescribed steroid eye drops.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1937531-2016-00002
MDR Report Key6042590
Date Received2016-10-19
Date of Report2016-10-19
Date of Event2016-09-16
Date Mfgr Received2016-09-19
Date Added to Maude2016-10-19
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. KATHRYN CADORETTE
Manufacturer Street5960 HEISLEY ROAD
Manufacturer CityMENTOR OH 44060
Manufacturer CountryUS
Manufacturer Postal44060
Manufacturer Phone4403927231
Manufacturer G1STERIS CORPORATION
Manufacturer Street7501 PAGE AVENUE
Manufacturer CityST. LOUIS MO 63133
Manufacturer CountryUS
Manufacturer Postal Code63133
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NamePROLYSTICA 2X CONCENTRATE NEUTRAL DETERGENT
Generic NameNEUTRAL DETERGENT
Product CodeFLG
Date Received2016-10-19
Lot Number280873
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerSTERIS CORPORATION
Manufacturer Address7501 PAGE AVENUE ST. LOUIS MO 63133 US 63133


Patients

Patient NumberTreatmentOutcomeDate
10 2016-10-19

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