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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2008-4977

2. Registrant Information.

Registrant Reference Number: Prosar case 1-16414050

Registrant Name (Full Legal Name no abbreviations): The Hartz Mountain Corporation

Address: 400 Plaza Drive

City: Secaucus

Prov / State: New Jersey

Country: USA

Postal Code: 07094-3688

3. Select the appropriate subform(s) for the incident.

Domestic Animal

4. Date registrant was first informed of the incident.

17-JUL-08

5. Location of incident.

Country: UNITED STATES

Prov / State: NEW YORK

6. Date incident was first observed.

17-JUL-08

Product Description

7. a) Provide the active ingredient and, if available, the registration number and product name (include all tank mixes). If the product is not registered provide a submission number.

Active(s)

PMRA Registration No.       PMRA Submission No.       EPA Registration No. 2596-150

Product Name: UltraGuard Plus Flea and Tick Drops Plus for Dogs and Puppies 4-15 lbs

  • Active Ingredient(s)
    • (S)-METHOPRENE
      • Guarantee/concentration 2.3 %
    • D-PHENOTHRIN
      • Guarantee/concentration 85.7 %

7. b) Type of formulation.

Liquid

Application Information

8. Product was applied?

Yes

9. Application Rate.

Unknown

10. Site pesticide was applied to (select all that apply).

Site: Animal / Usage sur un animal domestique

11. Provide any additional information regarding application (how it was applied, amount applied, the size of the area treated etc).

The reporter applied a canine flea and tick product to her 2 cats on 7/17/08. Her store "was out of the cat product". Both cats were also geriatric. All Hartz products carry a warning to consult with a veterinarian before using the product on an aged pet.

To be determined by Registrant

12. In your opinion, was the product used according to the label instructions?

No

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Cat / Chat

3. Breed

Domestic Shorthair

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

12

7. Weight (provide a range if necessary )

7

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>30 min <=2 hrs / >30 min <=2 h

11. List all symptoms

System

  • Nervous and Muscular Systems
    • Symptom - Convulsions
  • General
    • Symptom - Death

12. How long did the symptoms last?

Persisted until death

13. Was medical treatment provided? Provide details in question 17.

Yes

14. a) Was the animal hospitalized?

No

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Died

16. How was the animal exposed?

Treatment / Traitement

17. Provide any additional details about the incident

(eg. description of the frequency and severity of the symptoms

1-16414050: The reporter called on 7/17/08 to report the application of a canine topical flea and tick product containing the active ingredients Phenothrin and Methoprene to her 2 geriatric cats. According to the reporter, her ¿¿¿store was out of the cat product¿¿¿ so she had purchased and applied the canine product about 2 hours prior to the call. By the time of the call, her female cat (1st subform III) had hidden under the bed and had begun convulsing. A recommendation was made to bathe the cats with a non-insecticidal shampoo and lukewarm water, and to then immediately take the cats to an emergency veterinarian for supportive treatment. A follow-up call on 7/18 revealed the reporter had taken both cats to a veterinary clinic where they had been bathed. The female cat had passed away at the clinic. The heavier male cat (2nd subform III) had developed a slight twitch/jerk after product application, which had resolved. Note: All Hartz products carry a warning to consult with a veterinarian before using the product on an aged pet.


To be determined by Registrant

18. Severity classification (if there is more than 1 possible classification

Death

19. Provide supplemental information here

Subform III: Domestic Animal Incident Report

1. Source of Report

Animal's Owner

2. Type of animal affected

Cat / Chat

3. Breed

Unknown

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

12

7. Weight (provide a range if necessary )

13

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

Unknown / Inconnu

11. List all symptoms

System

  • Nervous and Muscular Systems
    • Symptom - Muscle twitching

12. How long did the symptoms last?

Unknown / Inconnu

13. Was medical treatment provided? Provide details in question 17.

Yes

14. a) Was the animal hospitalized?

Unknown

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Fully Recovered / Complètement rétabli

16. How was the animal exposed?

Treatment / Traitement

17. Provide any additional details about the incident

(eg. description of the frequency and severity of the symptoms

1-16414050: The reporter called on 7/17/08 to report the application of a canine topical flea and tick product containing the active ingredients Phenothrin and Methoprene to her 2 geriatric cats. According to the reporter, her ¿¿¿store was out of the cat product¿¿¿ so she had purchased and applied the canine product about 2 hours prior to the call. By the time of the call, her female cat (1st subform III) had hidden under the bed and had begun convulsing. A recommendation was made to bathe the cats with a non-insecticidal shampoo and lukewarm water, and to then immediately take the cats to an emergency veterinarian for supportive treatment. A follow-up call on 7/18 revealed the reporter had taken both cats to a veterinary clinic where they had been bathed. The female cat had passed away at the clinic. The heavier male cat (2nd subform III) had developed a slight twitch/jerk after product application, which had resolved. Note: All Hartz products carry a warning to consult with a veterinarian before using the product on an aged pet.


To be determined by Registrant

18. Severity classification (if there is more than 1 possible classification

Moderate

19. Provide supplemental information here