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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2010-6282

2. Registrant Information.

Registrant Reference Number: PROSAR Case # 1-24521091

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.

25-OCT-10

5. Location of incident.

Country: CANADA

Prov / State: ONTARIO

6. Date incident was first observed.

25-OCT-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. 29282      PMRA Submission No.       EPA Registration No.

Product Name: UltraGuard Pro Flea Tick Drops for Dogs Puppies Over 30 lbs

  • 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).

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

unknown

4. Number of animals affected

1

5. Sex

Female

6. Age (provide a range if necessary )

0.8

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

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

11. List all symptoms

System

  • Gastrointestinal System
    • Symptom - Salivating excessively
  • Nervous and Muscular Systems
    • Symptom - Muscle tremors
  • Skin
    • Symptom - Hair loss

12. How long did the symptoms last?

Unknown / Inconnu

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

No

14. a) Was the animal hospitalized?

No

14. b) How long was the animal hospitalized?

15. Outcome of the incident

Unknown/Inconnu

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

1-24521091- The reporter, a pet owner, indicates her animals were exposed to an insecticide containing the active ingredients permethrin and methoprene. The pet owner indicates she applied the product, a topical flea and tick drop designed for use on dogs, on her ten month female seven pound cat (Sub-form III, #1) and her one year seven pound male cat (Sub-form III, #2). The caller also reports an unspecified flea and tick collar had been placed on the animals prior and was on them at the time of the application of the drops. The topical drop was applied the night prior to the initial contact with the registrant. Both animals were reported to have developed muscle tremors some indeterminate time following application of the drops. She also reports the female animal (Sub-form III, #1) was drooling and had some hair loss under the collar. The caller was advised that concentrated permethrin spot-on type products labeled for use on dogs can result in neurologic signs if used on cats. The caller was advised of signs expected, decontamination, treatment protocols, and prognosis. The caller was advised to wash the animals in a non insecticidal shampoo, remove the collar, and seek prompt veterinary care for the animals. On routine follow up the following day the reporter indicated the male animal had resolved following the bath given. The female still had tremors but was improving. She did not see a veterinarian due to lack of resources. No further information is available.


To be determined by Registrant

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

Moderate

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 )

1

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

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

11. List all symptoms

System

  • Nervous and Muscular Systems
    • Symptom - Muscle tremors

12. How long did the symptoms last?

Unknown / Inconnu

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

No

14. a) Was the animal hospitalized?

No

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

1-24521091- The reporter, a pet owner, indicates her animals were exposed to an insecticide containing the active ingredients permethrin and methoprene. The pet owner indicates she applied the product, a topical flea and tick drop designed for use on dogs, on her ten month female seven pound cat (Sub-form III, #1) and her one year seven pound male cat (Sub-form III, #2). The caller also reports an unspecified flea and tick collar had been placed on the animals prior and was on them at the time of the application of the drops. The topical drop was applied the night prior to the initial contact with the registrant. Both animals were reported to have developed muscle tremors some indeterminate time following application of the drops. She also reports the female animal (Sub-form III, #1) was drooling and had some hair loss under the collar. The caller was advised that concentrated permethrin spot-on type products labeled for use on dogs can result in neurologic signs if used on cats. The caller was advised of signs expected, decontamination, treatment protocols, and prognosis. The caller was advised to wash the animals in a non insecticidal shampoo, remove the collar, and seek prompt veterinary care for the animals. On routine follow up the following day the reporter indicated the male animal had resolved following the bath given. The female still had tremors but was improving. She did not see a veterinarian due to lack of resources. No further information is available.


To be determined by Registrant

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

Moderate

19. Provide supplemental information here