SANITYZE HAND SANITIZER JWGP

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-04-05 for SANITYZE HAND SANITIZER JWGP manufactured by Inopak.

Event Text Entries

[104528804] Hand sanitizer gel, sanityze got into a patients eyes as they pumped the sanityze gel liquid dispenser. The user followed up with an optometrist to flush her eyes. Report of chemical burn and cornea abrasion. The patient was given antibiotics and a patch for the eye. Saw ophthalmologist two days later and was given a steriod as well. Patient reports double vision, blurry vision and pain. The user said the incident occured on (b)(6) 2018. Crosstex ra/qa followed up with the user and it was reported they will be following up with an eye exam as they are still experiencing double vision. No product was returned for additional investigation. Crosstex followed up with the hand sanitizer gel manufacturer, inopak and they provided eye irritation testing. The labeling warnings state, "in case of eye contact, rinse immediately with water. Crosstex does not have any recent related complaints regarding eye injury from hand sanitizer. This complaint will continue to be monitored in crosstex complaint handling system. Hand sanityzer manufacturer information: (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[104528805] It was reported that the customer pumped sanityze hand sanitizer and the gel got into her eyes. This required an optometrist to flush her eyes. It was reported that there was chemical burn and cornea abrasion.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2433773-2018-00001
MDR Report Key7400930
Date Received2018-04-05
Date of Report2018-04-05
Date of Event2018-03-06
Date Mfgr Received2018-03-06
Date Added to Maude2018-04-05
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 ContactMEGAN DICKEY
Manufacturer Street10 RANICK RD
Manufacturer CityHAUPPAUGE NY 11788
Manufacturer CountryUS
Manufacturer Postal11788
Manufacturer Phone7635533327
Manufacturer G1CROSSTEX INTERNATIONAL
Manufacturer Street10 RANICK RD
Manufacturer CityHAUPPAUGE NY 11788
Manufacturer CountryUS
Manufacturer Postal Code11788
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameSANITYZE HAND SANITIZER
Generic NameLIQUID HAND SANITYZER DISPENSER
Product CodeLRJ
Date Received2018-04-05
Model NumberJWGP
OperatorOTHER HEALTH CARE PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerINOPAK
Manufacturer Address24 EXECUTIVE PARKWAY RINGWOOD NJ 07456 US 07456


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-04-05

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