inforMED
MalfunctionGEC

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

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.