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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2010-1427

2. Registrant Information.

Registrant Reference Number: PROSAR 1-21554812

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.

01-FEB-10

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

01-FEB-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. 25922      PMRA Submission No.       EPA Registration No.

Product Name: UltraGuard Flea/TIck Drops for Dogs/Puppies Over 30 lbs (Canada)

  • Active Ingredient(s)
    • 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 product was applied to the cat on 02/01/2010. 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 )

5

7. Weight (provide a range if necessary )

11

lbs

8. Route(s) of exposure

Skin

9. What was the length of exposure?

>2 hrs <=8 hrs / >2 h <=8 h

10. Time between exposure and onset of symptoms

>2 hrs <=8 hrs / > 2 h < = 8 h

11. List all symptoms

System

  • Nervous and Muscular Systems
    • Symptom - Muscle tremors
    • Symptom - Ataxia
  • Gastrointestinal System
    • Symptom - Salivating excessively
  • Eye
    • Symptom - Pupil dilation
  • Cardiovascular System
    • Symptom - Tachycardia

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?

Yes

14. b) How long was the animal hospitalized?

3

Day(s) / Jour(s)

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

1-21554812: A reporter (veterinarian) called on 02/01/2010 to report the exposure of a cat to a canine flea and tick product containing the active ingredient Permethrin. According to the reporter, the product was applied to the cat earlier in the day on 02/01/2010. Within 3 hours, the cat developed tremors, ataxia, salivation, and dilated pupils. The cat's owner bathed the cat with a mild dish soap at home and brought it to the reporter for evaluation. Upon presentation, the caller noted the previously described signs in addition to tachycardia. The cat was treated with diazepam, methocarbamol, and IV fluids and was doing better at the time of the report. The reporter was advised that the treatment instituted is appropriate for the symptomatic and supportive care recommended with accidental feline exposures to canine concentrated pyrethrin products. A recommendation was made to consider another bath to ensure full decontamination. On follow up on 02/03/2010, a veterinary clinic employee stated that the cat was receiving IV fluids and methocarbamol. At the time of the follow up, the cat was eating and her tremors were improved. A recommendation was made to monitor the cat for a minimum of 48-72 hours as clinical signs may re-develop in under treated cats. On follow up on 02/05/2010, the initial reporter stated that the cat was discharged with oral methocarbamol on 02/04/2010 after its signs had resolved. 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

Moderate

19. Provide supplemental information here