New incident report
Incident Report Number: 2015-6060
Registrant Reference Number: 5471958
Registrant Name (Full Legal Name no abbreviations): Sure-Gro IP Inc.
Address: 1900 Minnesota Crt
City: Mississauga
Prov / State: Ontario
Country: Canada
Postal Code: L5N 3C9
Domestic Animal
Country: CANADA
Prov / State: SASKATCHEWAN
PMRA Registration No. 21936 PMRA Submission No. EPA Registration No.
Product Name: Wilson AntOut Ant Killer Dust
Yes
Unknown
Site: Res. - Out Home / Rés - à l'ext.maison
Animal's Owner
Dog / Chien
Shih Tzu
1
Male
0.42
8
lbs
Oral
Unknown
Unknown / Inconnu
<=30 min / <=30 min
System
Unknown / Inconnu
Yes
No
Unknown/Inconnu
Accidental ingestion/Ingestion accident.
(eg. description of the frequency and severity of the symptoms
C: Product was applied about 2-3 hours ago to yard. Dog was observed in the area but shooed away. Unsure if any was ingested. Dog has vomited two times, small amount of foam, starting 20 minutes ago. R: Because the amount was unknown consistent, the patient was considered to be at unknown risk of developing clinical signs. If signs develop, there is low risk that those signs will be life-threatening. Silicon dioxide is a form of diatomacious earth. As an insecticide, silicon dioxide acts as an abrasive desiccant. Silicon dioxide is in Toxicity Category III. Beyond mild GI upset, no significant clinical signs are expected. Theoretically, if a large amount inhaled, potential for silicosis.
Minor
The information contained in this report is based on self-reported statements provided to the registrant during telephone Interview(s). These self-reported descriptions of an incident have not been independently verified to be factually correct or complete descriptions of the incident. For that reason, information contained in this report does not and can not form the basis for a determination of whether the reported clinical effects are causally related to exposure to the product identified.