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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2009-5255

2. Registrant Information.

Registrant Reference Number: Prosar 1-20430979

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.

15-OCT-09

5. Location of incident.

Country: UNITED STATES

Prov / State: FLORIDA

6. Date incident was first observed.

15-OCT-09

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. 2596-146

Product Name: Control One Spot Flea/Tick Treatment for Dogs (non-specific)

  • Active Ingredient(s)
    • (S)-METHOPRENE
      • Guarantee/concentration 2.9 %
    • PERMETHRIN
      • Guarantee/concentration 45 %

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 product was applied to the cat on 10/14/2009. NOTE: This product is not labeled for use on cats.

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

Medical Professional

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 )

3

7. Weight (provide a range if necessary )

5

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>8 hrs <=24 hrs / > 8 h < = 24 h

11. List all symptoms

System

  • Nervous and Muscular Systems
    • Symptom - Seizure
  • 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

1-20430979: A reporter (a veterinarian) called on 10/15/2009 to report the exposure of a cat to a flea and tick product containing the active ingredients Methoprene and Permethrin. According to the reporter, the product was applied to the cat on 10/14/2009. Within 12 hours following product application, the cat had a seizure. The cat had a second seizure that started 1 hour prior to the report and was persistent at the time of the report. At the time of the report, the cat was being bathed and a Valium injection was being prepared for administration. The reporter was advised that Methoprene has little to no toxicity in mammals. The use of concentrated pyrethroids on cats may result in severe signs. A recommendation was made to bathe the cat in a non-insecticidal shampoo to decontaminate the cat. Phenobarbital was discussed as the preferred drug of choice for seizure control. Doses were reviewed for both Phenobarbital and Valium. The reporter was advised to maintain hydration and monitor body temperature. On follow up on 10/16/2009, a veterinary clinic employee stated that the cat died while undergoing treatment. The company's necropsy policy was discussed. No further information was obtained. NOTE: This product is not labeled for use on cats.


To be determined by Registrant

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

Death

19. Provide supplemental information here