CIDEX? OPA SOLUTION 20390

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,health report with the FDA on 2020-02-05 for CIDEX? OPA SOLUTION 20390 manufactured by Advanced Sterilization Products.

Event Text Entries

[185497846] This report is being captured for patient #4. Upon follow-up, the customer stated they have three different lot numbers: 916100060, 91930008, and 917200068 but do not know which lot was used with any of the events. They stated they are no longer using cidex? Opa solution for cleaning and high-level disinfection and that the issue has since resolved at the facility. Asp complaint ref #: (b)(4).
Patient Sequence No: 1, Text Type: N, H10


[185497847] A customer reported multiple patients experienced black staining on their tongues after a dental procedure using a tongue guard that was high-level disinfected in cidex? Opa solution. It was reported that this event occurred approximately twelve different times, and the customer was unable to provide event dates of each incident or the lot number of the solution used. The customer stated most patients experienced black tongues and a burning sensation in their mouths after the procedure. The duration of the symptoms is not known; however, the customer stated the patients did not receive any medical attention and all are reported to be? Fine.? The customer was not willing to provide any further information regarding the events. Upon follow-up regarding their cleaning and rinsing process, the customer reported they initially rinsed their instruments under running water after high-level disinfection to remove the solution, but then later changed their process to immersing the instruments in water for one minute one time only. The cidex? Opa solution instructions for use (ifu) states to thoroughly rinse the devices by immersing completely in a large volume of sterile fresh water for a minimum of one minute in duration and then to repeat the procedure two additional times for a total of three rinses. In addition, the customer stated they do not monitor the temperature of the cidex? Opa solution prior to use as stated in the ifu. Although there are no serious injuries reported with these events, as a matter of policy, asp has decided to report cases when there is patient contact with a medical instrument that was not rinsed properly per the ifu and when the cidex? Opa solution temperature is not being monitored prior to use.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2084725-2020-50013
MDR Report Key9673782
Report SourceCOMPANY REPRESENTATIVE,HEALTH
Date Received2020-02-05
Date of Report2020-02-05
Date Mfgr Received2020-01-13
Device Manufacturer Date2000-01-01
Date Added to Maude2020-02-05
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 FDA3
Event Location3
Manufacturer ContactMS. GABRIELA MCLELLAN
Manufacturer Street33 TECHNOLOGY DRIVE
Manufacturer CityIRVINE CA 92618
Manufacturer CountryUS
Manufacturer Postal92618
Manufacturer Phone9495030264
Manufacturer G1ASP IRVINE MFG
Manufacturer Street33 TECHNOLOGY DRIVE
Manufacturer CityIRVINE CA 92618
Manufacturer CountryUS
Manufacturer Postal Code92618
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCIDEX? OPA SOLUTION
Generic NameBIOCIDES SOLUTIONS
Product CodeMED
Date Received2020-02-05
Catalog Number20390
Lot NumberUNK
OperatorHEALTH PROFESSIONAL
Device Availability*
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerADVANCED STERILIZATION PRODUCTS
Manufacturer Address33 TECHNOLOGY DRIVE IRVINE CA US


Patients

Patient NumberTreatmentOutcomeDate
10 2020-02-05

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