Sterile Water

Sterile Water
SPL v3
SPL
SPL Set ID f484b04b-1b7d-4fce-ac24-e0db271baf76
Route
IRRIGATION
Published
Effective Date 2024-09-05
Document Type 34391-3 HUMAN PRESCRIPTION DRUG LABEL

Drug Facts

Composition & Product

Active Ingredients
Water (1 mL)

Identifiers & Packaging

Marketing Status
UNAPPROVED DRUG FOR USE IN DRUG SHORTAGE Completed Since 2024-08-01 Until 2026-04-01

Description

Important Prescribing Information September 3, 2024 Subject: Temporary distribution of Sterile water and 0.9% Sodium chloride Semi-Rigid Bottle (SRB) Irrigation with non-U.S. labeling to address drug shortages Dear Healthcare Professional, In order to address shortages of critical irrigation drug products, ICU Medical is coordinating with the U.S. Food and Drug Administration (FDA) to increase the availability of products from our portfolio which are manufactured and intended for the Canadian market. Temporarily and effective immediately, ICU Medical will make available for sale in the US the products listed below. These products are manufactured in the same facility and to the same specifications as ICU Medical's FDA-approved drug products; however, they are not labeled with current FDA-approved labeling. The information contained in this letter pertains only to the products listed below, which are not approved by FDA. Product Description Size Canadian DIN NDC Sterile Water for Irrigation, USP 1000 mL DIN 00038229 0990-8139-10 0.9% Sodium Chloride Irrigation, USP 250 mL DIN 00037834 0990-5138-25 0.9% Sodium Chloride Irrigation, USP 500 mL DIN 00037834 0990-5138-50 0.9% Sodium Chloride Irrigation, USP 1000 mL DIN 00037834 0990-8138-10 There are some key differences in the labeling between the U.S. FDA-approved products and the Canadian products. Please see the product comparison tables at the end of this letter for additional information. The barcode may not register accurately on the U.S. scanning systems. Institutions should manually input the product into their systems to confirm that barcode systems provide correct information when the product is scanned. Alternative procedures should be followed to assure that the correct drug product is being used and administered to individual patients. The U.S. FDA-approved products are available by prescription only in the U.S. However, the Canadian products do not have the statement "Rx only" on their labeling. Please refer to the FDA-approved package insert for the full prescribing information of each drug product. If you have any questions about ordering SRB irrigation products, please contact ICU Medical Customer Care at (877) 946-7747 or email [email protected]. For medical questions, please call ICU Medical Information at (800) 241-4002 or email [email protected] . To report adverse events or quality problems experienced with the use of this product, please call ICU Medical Global Complaint Management at (844) 654-7780 or email [email protected] . Adverse events or quality problems experienced with the use of this product may also be reported to the FDA's MedWatch Adverse Event Reporting Program either online, or regular mail, or by fax: Complete and submit the report Online: www.fda.gov/medwatch/report.htm Regular mail or Fax: Download form www.fda.gov/MedWatch/getforms.htm or call (800) 332-1088 to request a reporting form, then complete and return to the address on the pre-addressed form, or submit by fax to (800) FDA-0178 (1-800-332-0178). Our team is working with customers to mitigate the impact of this shortage and are committed to returning to full levels of production as soon as possible. Sincerely, Stuart Green Senior Director, Quality Representative Product Labels Comparison Tables Sterile Water for Irrigation, USP US FDA Approved Product Canadian Approved Product Product Name Sterile Water for Irrigation, USP Sterile Water for Irrigation, USP Indications For irrigation only For intraperitoneal, irrigation and topical use only Active Ingredients Sterile Water Sterile Water Additional Information pH 5.5 (5.0 – 7.0) pH approx. 5.5 Storage Conditions Store at 20 to 25°C (68 to 77°F) [See USP Controlled Room Temperature] 20 to 25°C Container Type AQUALITE™ Semi-Rigid Bottle AQUALITE™ Semi-Rigid Bottle Language English English and French Additional Product Identifier NDC number DIN and product catalog number Barcode GS1 Primary Data Structure Includes product NDC Number GS1 Primary Data Structure Includes Canada Manufacturer Number and unique product code 0.9% Sodium Chloride Irrigation, USP US FDA Approved Product Canadian Approved Product Product Name 0.9% Sodium Chloride Irrigation, USP 0.9% Sodium Chloride Irrigation, USP Indications Isotonic solution for irrigation For intraperitoneal, irrigation and topical use only Active Ingredients Each 100 mL contains sodium chloride, 900 mg Each mL contains: Sodium chloride 9 mg Additional Information pH 5.6 (4.5 – 7.0) pH approx. 5.6 Storage Conditions Store at 20 to 25°C (68 to 77°F) [See USP Controlled Room Temperature] 20 to 25°C Container Type AQUALITE™ Semi-Rigid Bottle AQUALITE™ Semi-Rigid Bottle Language English English and French Additional Product Identifier NDC number DIN and product catalog number Barcode GS1 Primary Data Structure Includes product NDC Number GS1 Primary Data Structure Includes Canada Manufacturer Number and unique product code


Medication Information

Description

Important Prescribing Information September 3, 2024 Subject: Temporary distribution of Sterile water and 0.9% Sodium chloride Semi-Rigid Bottle (SRB) Irrigation with non-U.S. labeling to address drug shortages Dear Healthcare Professional, In order to address shortages of critical irrigation drug products, ICU Medical is coordinating with the U.S. Food and Drug Administration (FDA) to increase the availability of products from our portfolio which are manufactured and intended for the Canadian market. Temporarily and effective immediately, ICU Medical will make available for sale in the US the products listed below. These products are manufactured in the same facility and to the same specifications as ICU Medical's FDA-approved drug products; however, they are not labeled with current FDA-approved labeling. The information contained in this letter pertains only to the products listed below, which are not approved by FDA. Product Description Size Canadian DIN NDC Sterile Water for Irrigation, USP 1000 mL DIN 00038229 0990-8139-10 0.9% Sodium Chloride Irrigation, USP 250 mL DIN 00037834 0990-5138-25 0.9% Sodium Chloride Irrigation, USP 500 mL DIN 00037834 0990-5138-50 0.9% Sodium Chloride Irrigation, USP 1000 mL DIN 00037834 0990-8138-10 There are some key differences in the labeling between the U.S. FDA-approved products and the Canadian products. Please see the product comparison tables at the end of this letter for additional information. The barcode may not register accurately on the U.S. scanning systems. Institutions should manually input the product into their systems to confirm that barcode systems provide correct information when the product is scanned. Alternative procedures should be followed to assure that the correct drug product is being used and administered to individual patients. The U.S. FDA-approved products are available by prescription only in the U.S. However, the Canadian products do not have the statement "Rx only" on their labeling. Please refer to the FDA-approved package insert for the full prescribing information of each drug product. If you have any questions about ordering SRB irrigation products, please contact ICU Medical Customer Care at (877) 946-7747 or email [email protected]. For medical questions, please call ICU Medical Information at (800) 241-4002 or email [email protected] . To report adverse events or quality problems experienced with the use of this product, please call ICU Medical Global Complaint Management at (844) 654-7780 or email [email protected] . Adverse events or quality problems experienced with the use of this product may also be reported to the FDA's MedWatch Adverse Event Reporting Program either online, or regular mail, or by fax: Complete and submit the report Online: www.fda.gov/medwatch/report.htm Regular mail or Fax: Download form www.fda.gov/MedWatch/getforms.htm or call (800) 332-1088 to request a reporting form, then complete and return to the address on the pre-addressed form, or submit by fax to (800) FDA-0178 (1-800-332-0178). Our team is working with customers to mitigate the impact of this shortage and are committed to returning to full levels of production as soon as possible. Sincerely, Stuart Green Senior Director, Quality Representative Product Labels Comparison Tables Sterile Water for Irrigation, USP US FDA Approved Product Canadian Approved Product Product Name Sterile Water for Irrigation, USP Sterile Water for Irrigation, USP Indications For irrigation only For intraperitoneal, irrigation and topical use only Active Ingredients Sterile Water Sterile Water Additional Information pH 5.5 (5.0 – 7.0) pH approx. 5.5 Storage Conditions Store at 20 to 25°C (68 to 77°F) [See USP Controlled Room Temperature] 20 to 25°C Container Type AQUALITE™ Semi-Rigid Bottle AQUALITE™ Semi-Rigid Bottle Language English English and French Additional Product Identifier NDC number DIN and product catalog number Barcode GS1 Primary Data Structure Includes product NDC Number GS1 Primary Data Structure Includes Canada Manufacturer Number and unique product code 0.9% Sodium Chloride Irrigation, USP US FDA Approved Product Canadian Approved Product Product Name 0.9% Sodium Chloride Irrigation, USP 0.9% Sodium Chloride Irrigation, USP Indications Isotonic solution for irrigation For intraperitoneal, irrigation and topical use only Active Ingredients Each 100 mL contains sodium chloride, 900 mg Each mL contains: Sodium chloride 9 mg Additional Information pH 5.6 (4.5 – 7.0) pH approx. 5.6 Storage Conditions Store at 20 to 25°C (68 to 77°F) [See USP Controlled Room Temperature] 20 to 25°C Container Type AQUALITE™ Semi-Rigid Bottle AQUALITE™ Semi-Rigid Bottle Language English English and French Additional Product Identifier NDC number DIN and product catalog number Barcode GS1 Primary Data Structure Includes product NDC Number GS1 Primary Data Structure Includes Canada Manufacturer Number and unique product code

Section 71744-7

Important Prescribing Information

September 3, 2024

Subject: Temporary distribution of Sterile water and 0.9% Sodium chloride Semi-Rigid Bottle (SRB) Irrigation with non-U.S. labeling to address drug shortages

Dear Healthcare Professional,

In order to address shortages of critical irrigation drug products, ICU Medical is coordinating with the U.S. Food and Drug Administration (FDA) to increase the availability of products from our portfolio which are manufactured and intended for the Canadian market. Temporarily and effective immediately, ICU Medical will make available for sale in the US the products listed below. These products are manufactured in the same facility and to the same specifications as ICU Medical's FDA-approved drug products; however, they are not labeled with current FDA-approved labeling. The information contained in this letter pertains only to the products listed below, which are not approved by FDA.

Product Description Size Canadian DIN NDC
Sterile Water for Irrigation, USP 1000 mL DIN 00038229 0990-8139-10
0.9% Sodium Chloride Irrigation, USP 250 mL DIN 00037834 0990-5138-25
0.9% Sodium Chloride Irrigation, USP 500 mL DIN 00037834 0990-5138-50
0.9% Sodium Chloride Irrigation, USP 1000 mL DIN 00037834 0990-8138-10

There are some key differences in the labeling between the U.S. FDA-approved products and the Canadian products. Please see the product comparison tables at the end of this letter for additional information.

The barcode may not register accurately on the U.S. scanning systems. Institutions should manually input the product into their systems to confirm that barcode systems provide correct information when the product is scanned. Alternative procedures should be followed to assure that the correct drug product is being used and administered to individual patients.

The U.S. FDA-approved products are available by prescription only in the U.S. However, the Canadian products do not have the statement "Rx only" on their labeling.

Please refer to the FDA-approved package insert for the full prescribing information of each drug product.

If you have any questions about ordering SRB irrigation products, please contact ICU Medical Customer Care at (877) 946-7747 or email [email protected]. For medical questions, please call ICU Medical Information at (800) 241-4002 or email [email protected].

To report adverse events or quality problems experienced with the use of this product, please call ICU Medical Global Complaint Management at (844) 654-7780 or email [email protected].

Adverse events or quality problems experienced with the use of this product may also be reported to the FDA's MedWatch Adverse Event Reporting Program either online, or regular mail, or by fax:

  • Complete and submit the report Online: www.fda.gov/medwatch/report.htm
  • Regular mail or Fax: Download form www.fda.gov/MedWatch/getforms.htm or call (800) 332-1088 to request a reporting form, then complete and return to the address on the pre-addressed form, or submit by fax to (800) FDA-0178 (1-800-332-0178).

Our team is working with customers to mitigate the impact of this shortage and are committed to returning to full levels of production as soon as possible.

Sincerely,

Stuart Green

Senior Director, Quality

Representative Product Labels Comparison Tables

Sterile Water for Irrigation, USP

US FDA Approved Product Canadian Approved Product
Product Name Sterile Water for Irrigation, USP Sterile Water for Irrigation, USP
Indications For irrigation only For intraperitoneal, irrigation and topical use only
Active Ingredients Sterile Water Sterile Water
Additional Information pH 5.5 (5.0 – 7.0) pH approx. 5.5
Storage Conditions Store at 20 to 25°C (68 to 77°F) [See USP Controlled Room Temperature] 20 to 25°C
Container Type AQUALITE™ Semi-Rigid Bottle AQUALITE™ Semi-Rigid Bottle
Language English English and French
Additional Product Identifier NDC number DIN and product catalog number
Barcode GS1 Primary Data Structure

Includes product NDC Number
GS1 Primary Data Structure

Includes Canada Manufacturer Number and unique product code

0.9% Sodium Chloride Irrigation, USP

US FDA Approved Product Canadian Approved Product
Product Name 0.9% Sodium Chloride Irrigation, USP 0.9% Sodium Chloride Irrigation, USP
Indications Isotonic solution for irrigation For intraperitoneal, irrigation and topical use only
Active Ingredients Each 100 mL contains sodium chloride, 900 mg Each mL contains: Sodium chloride 9 mg
Additional Information pH 5.6 (4.5 – 7.0) pH approx. 5.6
Storage Conditions Store at 20 to 25°C (68 to 77°F) [See USP Controlled Room Temperature] 20 to 25°C
Container Type AQUALITE™ Semi-Rigid Bottle AQUALITE™ Semi-Rigid Bottle
Language English English and French
Additional Product Identifier NDC number DIN and product catalog number
Barcode GS1 Primary Data Structure

Includes product NDC Number
GS1 Primary Data Structure

Includes Canada Manufacturer Number and unique product code
Principal Display Panel 1000 Ml Bottle Label

1000 mL

Sterile

Solution

DIN 00038229

N° 07139019

AQUALITE™

Sterile Water for Irrigation, USP

100%

FOR INTRAPERITONEAL,

IRRIGATION AND TOPICAL USE

ONLY • NOT FOR INJECTION

Nonpyrogenic • Single-Use

Contains no antimicrobial or other

added substance. Dosage: As

directed. Do not heat container over

66°C. Discard unused portion. Storage:

20 to 25°C. Protect from freezing.

pH approx. 5.5

Questions or Concerns

ICU Medical Canada Inc.

Saint-Laurent, QC H4S 0A9

RL-7288

LOT

EXP


Structured Label Content

Section 71744-7 (71744-7)

Important Prescribing Information

September 3, 2024

Subject: Temporary distribution of Sterile water and 0.9% Sodium chloride Semi-Rigid Bottle (SRB) Irrigation with non-U.S. labeling to address drug shortages

Dear Healthcare Professional,

In order to address shortages of critical irrigation drug products, ICU Medical is coordinating with the U.S. Food and Drug Administration (FDA) to increase the availability of products from our portfolio which are manufactured and intended for the Canadian market. Temporarily and effective immediately, ICU Medical will make available for sale in the US the products listed below. These products are manufactured in the same facility and to the same specifications as ICU Medical's FDA-approved drug products; however, they are not labeled with current FDA-approved labeling. The information contained in this letter pertains only to the products listed below, which are not approved by FDA.

Product Description Size Canadian DIN NDC
Sterile Water for Irrigation, USP 1000 mL DIN 00038229 0990-8139-10
0.9% Sodium Chloride Irrigation, USP 250 mL DIN 00037834 0990-5138-25
0.9% Sodium Chloride Irrigation, USP 500 mL DIN 00037834 0990-5138-50
0.9% Sodium Chloride Irrigation, USP 1000 mL DIN 00037834 0990-8138-10

There are some key differences in the labeling between the U.S. FDA-approved products and the Canadian products. Please see the product comparison tables at the end of this letter for additional information.

The barcode may not register accurately on the U.S. scanning systems. Institutions should manually input the product into their systems to confirm that barcode systems provide correct information when the product is scanned. Alternative procedures should be followed to assure that the correct drug product is being used and administered to individual patients.

The U.S. FDA-approved products are available by prescription only in the U.S. However, the Canadian products do not have the statement "Rx only" on their labeling.

Please refer to the FDA-approved package insert for the full prescribing information of each drug product.

If you have any questions about ordering SRB irrigation products, please contact ICU Medical Customer Care at (877) 946-7747 or email [email protected]. For medical questions, please call ICU Medical Information at (800) 241-4002 or email [email protected].

To report adverse events or quality problems experienced with the use of this product, please call ICU Medical Global Complaint Management at (844) 654-7780 or email [email protected].

Adverse events or quality problems experienced with the use of this product may also be reported to the FDA's MedWatch Adverse Event Reporting Program either online, or regular mail, or by fax:

  • Complete and submit the report Online: www.fda.gov/medwatch/report.htm
  • Regular mail or Fax: Download form www.fda.gov/MedWatch/getforms.htm or call (800) 332-1088 to request a reporting form, then complete and return to the address on the pre-addressed form, or submit by fax to (800) FDA-0178 (1-800-332-0178).

Our team is working with customers to mitigate the impact of this shortage and are committed to returning to full levels of production as soon as possible.

Sincerely,

Stuart Green

Senior Director, Quality

Representative Product Labels Comparison Tables

Sterile Water for Irrigation, USP

US FDA Approved Product Canadian Approved Product
Product Name Sterile Water for Irrigation, USP Sterile Water for Irrigation, USP
Indications For irrigation only For intraperitoneal, irrigation and topical use only
Active Ingredients Sterile Water Sterile Water
Additional Information pH 5.5 (5.0 – 7.0) pH approx. 5.5
Storage Conditions Store at 20 to 25°C (68 to 77°F) [See USP Controlled Room Temperature] 20 to 25°C
Container Type AQUALITE™ Semi-Rigid Bottle AQUALITE™ Semi-Rigid Bottle
Language English English and French
Additional Product Identifier NDC number DIN and product catalog number
Barcode GS1 Primary Data Structure

Includes product NDC Number
GS1 Primary Data Structure

Includes Canada Manufacturer Number and unique product code

0.9% Sodium Chloride Irrigation, USP

US FDA Approved Product Canadian Approved Product
Product Name 0.9% Sodium Chloride Irrigation, USP 0.9% Sodium Chloride Irrigation, USP
Indications Isotonic solution for irrigation For intraperitoneal, irrigation and topical use only
Active Ingredients Each 100 mL contains sodium chloride, 900 mg Each mL contains: Sodium chloride 9 mg
Additional Information pH 5.6 (4.5 – 7.0) pH approx. 5.6
Storage Conditions Store at 20 to 25°C (68 to 77°F) [See USP Controlled Room Temperature] 20 to 25°C
Container Type AQUALITE™ Semi-Rigid Bottle AQUALITE™ Semi-Rigid Bottle
Language English English and French
Additional Product Identifier NDC number DIN and product catalog number
Barcode GS1 Primary Data Structure

Includes product NDC Number
GS1 Primary Data Structure

Includes Canada Manufacturer Number and unique product code
Principal Display Panel 1000 Ml Bottle Label (PRINCIPAL DISPLAY PANEL - 1000 mL Bottle Label)

1000 mL

Sterile

Solution

DIN 00038229

N° 07139019

AQUALITE™

Sterile Water for Irrigation, USP

100%

FOR INTRAPERITONEAL,

IRRIGATION AND TOPICAL USE

ONLY • NOT FOR INJECTION

Nonpyrogenic • Single-Use

Contains no antimicrobial or other

added substance. Dosage: As

directed. Do not heat container over

66°C. Discard unused portion. Storage:

20 to 25°C. Protect from freezing.

pH approx. 5.5

Questions or Concerns

ICU Medical Canada Inc.

Saint-Laurent, QC H4S 0A9

RL-7288

LOT

EXP


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