FDA Adverse Event
Injury
Summary report: N
SOFT PCK;ENV;US PRO;CPN;72/BX
MDR report key: 14569232
·
Received June 1, 2022
Report
- Report Number
- 0001413787-2022-00177
- Event Type
- Injury
- Date Received
- June 1, 2022
- Date of Event
- May 5, 2022
- Report Date
- May 6, 2022
- Manufacturer
- SUNSTAR AMERICAS INC.
- Product Code
- JET
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- DC, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
CONSUMER WAS USING THE SOFT-PICK AND SWALLOWED THE ENTIRE PICK AND WENT TO THE ER.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2413444 | SOFT PCK;ENV;US PRO;CPN;72/BX | PICK, MASSAGING | JET | SUNSTAR AMERICAS INC. | 632DB |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 75 YR | Female | Required Intervention |