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Consumer Product Safety

Incident Report

Subform I: General Information

1. Report Type.

New incident report

Incident Report Number: 2018-3390

2. Registrant Information.

Registrant Reference Number: 2236265

Registrant Name (Full Legal Name no abbreviations): Bell Laboratories, Inc.

Address: 3699 Kinsman Blvd

City: Madison

Prov / State: WI

Country: USA

Postal Code: 53704

3. Select the appropriate subform(s) for the incident.

Domestic Animal

4. Date registrant was first informed of the incident.

18-MAY-18

5. Location of incident.

Country: UNITED STATES

Prov / State: SOUTH DAKOTA

6. Date incident was first observed.

18-MAY-18

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. 12455-102-3240

Product Name: ZP AG Crimped Oat

  • Active Ingredient(s)
    • ZINC PHOSPHIDE
      • Guarantee/concentration 2 %

7. b) Type of formulation.

Bait

Application Information

8. Product was applied?

No

9. Application Rate.

10. Site pesticide was applied to (select all that apply).

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?

Unknown

Subform III: Domestic Animal Incident Report

1. Source of Report

Medical Professional

2. Type of animal affected

Horse / Cheval

3. Breed

Unknown

4. Number of animals affected

1

5. Sex

Unknown

6. Age (provide a range if necessary )

Unknown

7. Weight (provide a range if necessary )

1000

lbs

8. Route(s) of exposure

Oral

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
    • Symptom - Muscle tremors
  • Blood
    • Symptom - Hypoglycemia
  • Nervous and Muscular Systems
    • Symptom - Other
    • Specify - Unable to stand
  • 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?

Yes

14. b) How long was the animal hospitalized?

Unknown

15. Outcome of the incident

Died

16. How was the animal exposed?

Accidental ingestion/Ingestion accident.

17. Provide any additional details about the incident

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

5/18/2018 12:13:37 PM A veterinarian reported an owner was en route to the clinic with their 8 horses that ingested approximately two pounds of product earlier that day. It was unknown which horses may have ingested any of the product. All 8 horses were asymptomatic upon arrival to the clinic and decontamination was initiated. The morning of May 19, 2018 the veterinarian reported that 7 horses remained asymptomatic and one was down and unable to stand with severe tremors. The horse had been treated with 5% sodium bicarbonate solution via nasogastric tube and lavage, mineral oil via gavage, milk of magnesia, Banamine, and intravenous fluids. Baseline lab work was within normal limits but which tests were performed was not provided. Symptomatic and supportive care for zinc phosphide exposure was discussed. On May 23, 2018 the veterinarian reported the first horse that developed tremors also became severely hypoglycemic. The horse initially responded well to treatment with dextrose but then had a severe seizure and died and unspecified amount of time later. Clinical signs began approximately 15 hours after decontamination via tubing and lavage in clinic. A second horse developed seizures and severe hypoglycemia approximately 30 hours post-decontamination. This horse also initially responded well to treatment with dextrose, but signs recurred an unspecified amount of time later, and the owner elected humane euthanasia. Six other horses remained asymptomatic.


To be determined by Registrant

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

Death

19. Provide supplemental information here

Subform III: Domestic Animal Incident Report

1. Source of Report

Medical Professional

2. Type of animal affected

Horse / Cheval

3. Breed

Unknown

4. Number of animals affected

1

5. Sex

Unknown

6. Age (provide a range if necessary )

Unknown

7. Weight (provide a range if necessary )

1000

lbs

8. Route(s) of exposure

Oral

9. What was the length of exposure?

Unknown / Inconnu

10. Time between exposure and onset of symptoms

>24 hrs <=3 days / >24 h <=3 jours

11. List all symptoms

System

  • Nervous and Muscular Systems
    • Symptom - Seizure
    • Symptom - Other
    • Specify - Unable to stand
  • Blood
    • Symptom - Hypoglycemia

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?

Yes

14. b) How long was the animal hospitalized?

Unknown

15. Outcome of the incident

Euthanised / Euthanasie

16. How was the animal exposed?

Accidental ingestion/Ingestion accident.

17. Provide any additional details about the incident

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

5/18/2018 12:13:37 PM A veterinarian reported an owner was en route to the clinic with their 8 horses that ingested approximately two pounds of product earlier that day. It was unknown which horses may have ingested any of the product. All 8 horses were asymptomatic upon arrival to the clinic and decontamination was initiated. The morning of May 19, 2018 the veterinarian reported that 7 horses remained asymptomatic and one was down and unable to stand with severe tremors. The horse had been treated with 5% sodium bicarbonate solution via nasogastric tube and lavage, mineral oil via gavage, milk of magnesia, Banamine, and intravenous fluids. Baseline lab work was within normal limits but which tests were performed was not provided. Symptomatic and supportive care for zinc phosphide exposure was discussed. On May 23, 2018 the veterinarian reported the first horse that developed tremors also became severely hypoglycemic. The horse initially responded well to treatment with dextrose but then had a severe seizure and died an unspecified amount of time later. Clinical signs began approximately 15 hours after decontamination via tubing and lavage in clinic. A second horse developed seizures and severe hypoglycemia approximately 30 hours post-decontamination. This horse also initially responded well to treatment with dextrose, but signs recurred and unspecified amount of time later, and the owner elected humane euthanasia. Six other horses remained asymptomatic.


To be determined by Registrant

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

Major

19. Provide supplemental information here