E-Z SCRUB BRUSH
Received Sep 6, 2024 · Event occurred Aug 13, 2024
Report 1710034-2024-00986 · MDR key 20157566
Device
Generic name
E-z Scrub Brush
Manufacturer
Becton Dickinson Infusion Therapy Systems Inc.Catalog number
371603
Lot number
UNKNOWN
Product problems
- Device Handling Problem
- Device Handling Problem
Patient
NA · Unknown
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Additional Manufacturer Narrative
IT WAS REPORTED THAT AFTER THE DISCONTINUATION OF A DIFFERENT DEVICE (CHG SCRUB BRUSH), CLINICIANS HAVE BEEN POURING CHLORHEXIDINE ONTO A DRY SCRUB BRUSH. THE CLINICIANS REPORTED THAT WHEN THEY ARE SQUIRTING CHLORHEXIDINE ONTO THE DRY SCRUB BRUSH, IT IS SPLASHING BACK AND GETTING INTO THEIR EYES. AS REPORTED, THERE WAS NO USER HARM. BASED ON THE INFORMATION PROVIDED THE ISSUE APPEARS TO BE ASSOCIATED WITH A USE ERROR. NOTE: SECTION A THROUGH F - THE INFORMATION PROVIDED BY BD REPRESENTS ALL OF THE KNOWN INFORMATION AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT / REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO BD.
Description of Event or Problem
IT WAS REPORTED THAT AFTER THE DISCONTINUATION OF A DIFFERENT DEVICE (CHG SCRUB BRUSH), CLINICIANS HAVE BEEN POURING CHLORHEXIDINE ONTO A DRY SCRUB BRUSH. THE CLINICIANS REPORTED THAT WHEN THEY ARE SQUIRTING CHLORHEXIDINE ONTO THE DRY SCRUB BRUSH, IT IS SPLASHING BACK AND GETTING INTO THEIR EYES. RECURRENCE OF USE ERROR COULD RESULT IN THE NEED FOR MEDICAL INTERVENTION. AS REPORTED, THERE WAS NO USER HARM.