MAUDE Adverse Event Report: MEDIVATORS INC RAPICIDE PA HIGH LEVEL DISINFECTANT

Model Number ML02-0117

Device Problem Leak/Splash (1354)

Patient Problem Skin Inflammation/ Irritation (4545)

Event Date 02/01/2024

Event Type  malfunction  

Event Description

The user facility reported that upon moving and opening a package that leaked containing rapicide pa high-level disinfectant, an employee experienced irritation on their hands.Medical treatment was sought but not administered as the irritation subsided.

Manufacturer Narrative

It is likely that the package was stored in a non-upright position during transit allowing the rapicide pa high-level disinfectant to leak.The outer package labeling indicates that the package be stored in an upright position during transit.It has been reported that the employee was not wearing proper ppe.The following language related to safe handling of the rapicide pa high-level disinfectant can be found on the safety data sheets, "in case of contact, immediately flush skin with plenty of water.Remove contaminated clothing and shoes.Wash clothing before reuse.Get immediate medical advice/attention.Causes severe skin burns.Symptoms may include redness, pain, blisters." the safety data sheets include the following language related to ppe, "wear chemically resistant protective gloves.Wear approved eye protection (properly fitted dust- or splash-proof chemical safety goggles) and face protection (face shield).Wear suitable protective clothing.Wear solvent resistant apron and boots for spills." no additional issues have been reported.

• Brand Name: RAPICIDE PA HIGH LEVEL DISINFECTANT
• Type of Device: DISINFECTANT
• Manufacturer (Section D): MEDIVATORS INC; 14605 28th avenue n; minneapolis MN 55447
• Manufacturer (Section G): MEDIVATORS INC; 14605 28th avenue n; minneapolis MN 55447
• Manufacturer Contact: daniel davy ; 14605 28th ave north; minneapolis, MN 55447 ; 4403927453
• MDR Report Key: 18817825
• MDR Text Key: 336885794
• Report Number: 2150060-2024-00013
• Device Sequence Number: 1
• Product Code: FEB
• Combination Product (y/n): N
• Reporter Country Code: US
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: User Facility
• Reporter Occupation: Other Health Care Professional
• Type of Report: Initial
• Report Date: 03/01/2024

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 03/01/2024
• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Device Operator: Health Professional
• Device Model Number: ML02-0117
• Device Catalogue Number: ML02-0117
• Device Lot Number: 608934
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Date Manufacturer Received: 02/01/2024
• Was Device Evaluated by Manufacturer?: No
• Date Device Manufactured: 12/14/2023
• Is the Device Single Use?: No
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Initial
• Patient Sequence Number: 1