FDA Adverse Event Injury Summary report: N

MOSIE BABY

MDR report key: 16919504 · Received May 11, 2023

Report

Report Number
MW5117483
Event Type
Injury
Date Received
May 11, 2023
Date of Event
November 1, 2022
Report Date
May 22, 2023
Manufacturer
MOSIE, INC.
Product Code
KYZ
Product Problem
Yes
Report Source
Voluntary report
Reporter Occupation
PATIENT
Health Professional
*

Narratives

Description of Event or Problem · 0

ADDITIONAL INFORMATION RECEIVED FOR REPORT MW5117483 FOR PROCODE KYZ AND MANUFACTURER MOSIE INC.

Description of Event or Problem · 0

HUSBAND AND I USED THIS INSTEAD OF SEX TO MAKE OUR BABY AND I WAS LEFT WITH PELVIC INFLAMED DISEASE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1356263 MOSIE BABY SYRINGE, IRRIGATING (NON DENTAL) KYZ MOSIE, INC.
650425 MOSIE BABY SYRINGE, IRRIGATING (NON DENTAL) KYZ MOSIE, INC.

Patients

Seq Age Sex Outcome Treatment
1 42 YR Female Required Intervention MOSIE BABY.