RENALIN 100 COLD STERILANT 78397-846

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a other,user facility report with the FDA on 2017-04-04 for RENALIN 100 COLD STERILANT 78397-846 manufactured by Medivators.

Event Text Entries

[71682548] The facility reported an employee splashed renalin 100 cold sterilant on their hand. The employee did not initially realize until he noticed a dime-size white spot on his finger. Medivators ra followed up with the employee at the facility in response to the chemtrec report. The employee reported rinsing his finger for about thirty minutes and the symptoms went away. The employee reported wearing dry latex gloves, and does not know how the chemical reached his skin. No additional medical attention was sought and the employee's current condition is fine. This event could potentially lead to illness or injury. This complaint will continue to be monitored in the medivators complaint handling system.
Patient Sequence No: 1, Text Type: N, H10


[71682549] Facility reported an employee splashed renalin 100 on hand and experienced chemical exposure symptoms such as discoloration of the skin of his fingers.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2150060-2017-00015
MDR Report Key6458160
Report SourceOTHER,USER FACILITY
Date Received2017-04-04
Date of Report2017-04-04
Date of Event2017-03-11
Date Mfgr Received2017-03-11
Date Added to Maude2017-04-04
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 ContactSADIE MARTIN
Manufacturer Street14605 28TH AVE N
Manufacturer CityMINNEAPOLIS MN 55447
Manufacturer CountryUS
Manufacturer Postal55447
Manufacturer G1MEDIVATORS
Manufacturer Street14605 28TH AVE N
Manufacturer CityMINNEAPOLIS MN 55447
Manufacturer CountryUS
Manufacturer Postal Code55447
Single Use3
Remedial ActionNO
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameRENALIN 100 COLD STERILANT
Generic NameMEDICAL DEVICE DISINFECTANT
Product CodeLRJ
Date Received2017-04-04
Model Number78397-846
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerMEDIVATORS
Manufacturer Address14605 28TH AVE N MINNEAPOLIS MN 55447 US 55447


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-04-04

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