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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CAREFUSION, INC CHLORAPREP UNKNOWN; 2% W/V CHLORHEXIDINE GLUCONATE/70% V/V ISOPROPYL ALCOHOL

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CAREFUSION, INC CHLORAPREP UNKNOWN; 2% W/V CHLORHEXIDINE GLUCONATE/70% V/V ISOPROPYL ALCOHOL Back to Search Results
Catalog Number CHLORAPREP UNKNOWN
Device Problems Adverse Event Without Identified Device or Use Problem (2993); Insufficient Information (3190)
Patient Problems Unspecified Infection (1930); Reaction (2414)
Event Date 10/05/2020
Event Type  Injury  
Manufacturer Narrative
(b)(6) initial emdr submission.A follow up emdr will be submitted if additional information becomes available.(b)(4).
 
Event Description
It was stated the patient experienced a lower respiratory infection and various adverse reactions while using chloraprep.
 
Manufacturer Narrative
No additional information was provided by the canada vigilance.Propharma did reach out to obtain with no success.Should additional information be available in the future, the complaint will be re-opened and investigated.All complaints are reviewed during monthly quality/safety meetings.In addition, complaints are trended at monthly quality data analyst meetings and quarterly plant management review meetings.
 
Event Description
It was stated the patient experienced a lower respiratory infection and various adverse reactions while using chloraprep.
 
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Brand Name
CHLORAPREP UNKNOWN
Type of Device
2% W/V CHLORHEXIDINE GLUCONATE/70% V/V ISOPROPYL ALCOHOL
Manufacturer (Section D)
CAREFUSION, INC
75 north fairway drive
vernon hills IL 60061
MDR Report Key10703554
MDR Text Key212296137
Report Number3004932373-2020-00088
Device Sequence Number1
Product Code LRJ
Combination Product (y/n)N
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type other
Remedial Action Other
Type of Report Initial,Followup
Report Date 12/02/2020
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/20/2020
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Other
Device Catalogue NumberCHLORAPREP UNKNOWN
Device Lot NumberUNKNOWN
Date Manufacturer Received10/05/2020
Patient Sequence Number1
Patient Outcome(s) Other;
Patient Age42 YR
Patient Weight81
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