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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2010-0856

2. Registrant Information.

Registrant Reference Number: Prosar 1-21216996

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.

03-JAN-10

5. Location of incident.

Country: CANADA

Prov / State: BRITISH COLUMBIA

6. Date incident was first observed.

03-JAN-10

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. 26491      PMRA Submission No.       EPA Registration No.

Product Name: UltraGuard One Spot Treatment for Cats/Kittens (Canada)

  • Active Ingredient(s)
    • (S)-METHOPRENE

PMRA Registration No.       PMRA Submission No.       EPA Registration No.

Product Name: UltraGuard Pro Flea/Tick Drops Plus for Dogs/Puppies (non-specific)

  • Active Ingredient(s)
    • (S)-METHOPRENE
    • PERMETHRIN

7. b) Type of formulation.

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 feline product was applied to the cat on 01/03/2010. The canine product was applied to the dog on 01/03/2010. There may have been transfer of canine product by the dog to the cat. NOTE: The feline product is not labeled for use on aged cats (defined by the company as cats older than 10 years of age).

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

Persian

4. Number of animals affected

1

5. Sex

Male

6. Age (provide a range if necessary )

13

7. Weight (provide a range if necessary )

5

lbs

8. Route(s) of exposure

Skin

Oral

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 - Agitation
    • Symptom - Ataxia
    • Symptom - Muscle tremors
  • Gastrointestinal System
    • Symptom - Diarrhea

12. How long did the symptoms last?

Unknown / Inconnu

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

Unknown

14. a) Was the animal hospitalized?

Unknown

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Unknown/Inconnu

16. How was the animal exposed?

Other / Autre

specify Treatment with feline product, possible transfer of canine product

17. Provide any additional details about the incident

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

1-21216996: A reporter (cat owner) called on 01/03/2010 to report the exposure of his cat to a flea egg and larvae product containing the active ingredient Methoprene. According to the reporter, the product was applied to the cat on 01/03/2010. A canine flea and tick product containing the active ingredients Methoprene and Permethrin was applied to the dog at the same time. Within 2 hours of product application, the cat became agitated and ataxic, and developed tremors and diarrhea. The reporter thought that the cat had been licking at the application site. It was unknown whether the canine product on the dog had somehow gotten transferred onto the cat. The reporter was advised that the feline product is not expected to result in adverse effects when used on cats, and ingestions of feline product are not expected to result in the signs described. The reporter was also advised that if the canine product had transferred to the cat somehow, adverse effects may be seen. A recommendation was made to bathe the cat in hand dish soap and transfer the cat to a veterinarian for evaluation. The reporter was advised that monitoring for 3 days is recommended. Forty-five minutes later, the reporter's veterinarian called to say that the reporter had called him. The veterinarian wanted clarification on the incident. The veterinarian was advised of what the reporter had relayed. The veterinarian was also advised that the cat should be monitored for 3 days and that methocarbamol should be used to manage the muscle tremors. Several attempts at follow up were unsuccessful. No further information was obtained. NOTE: The feline product is not labeled for use on aged cats (defined by the company as cats older than 10 years of age).


To be determined by Registrant

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

Moderate

19. Provide supplemental information here