FDA Adverse Event Injury Summary report: N

EAR TUBES

MDR report key: 19560766 · Received June 17, 2024

Report

Report Number
MW5156388
Event Type
Injury
Date Received
June 17, 2024
Date of Event
June 12, 2024
Report Date
June 13, 2024
Manufacturer
UNKNOWN
Product Code
QJA
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
ME, US
Reporter Occupation
PATIENT
Health Professional
*

Narratives

Description of Event or Problem · 0

THE CLAIM FROM THE PATIENT IS THAT PAIN IN THE AREA OF THE EAR TUBE. THIS WAS CONFIRMED BY THE ATTEMPTED REMOVAL BY THE PEDIATRICIAN. THIS ISSUE HAS BEEN REPORTED BY THE PATIENT SINCE OR NEAR THE TIME OF IMPLANTING ON (B)(6) 2023 BY AN ENT (EAR, NOSE, AND THROAT). THIS HAS BEEN CHRONIC AND CONTINUES. THE PATIENT CLAIMED THE PAIN WAS EXACT BUT INCREASED BY THE ATTEMPTED REMOVAL OF THE TUBE AS IT WAS CLAIMED TO BE OUT AND HANGING. THE TUBES STILL EXIST IN THE PATIENT BUT THE PLAN OF ACTION FOR TREATMENT INCLUDE IBUPROFEN, FLUTICASONE, CETIRIZINE, SALINE SOLUTION TO THE EAR BEYOND THE OTHER MEDICINES TO THE NASAL. AND DRINK FOR ALLERGIES OR NASAL INFLAMMATION AND IRRITATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1512866 EAR TUBES TYMPANOSTOMY TUBE DELIVERY PRODUCT WITH DRUG QJA UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 7 YR Male Disability ALBUTEROL.| CETIRIZINE.| FLUTICASONE QVAR. | SALINE SOLUTION.