FDA Adverse Event Injury Summary report: N

NIX ULTRA LICE REMOVAL KIT

MDR report key: 21035123 · Received December 30, 2024

Report

Report Number
1719513-2024-00084
Event Type
Injury
Date Received
December 30, 2024
Product Code
LJL
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
003

Narratives

Description of Event or Problem · 0

INITIAL (14-DEC-2024): THIS SERIOUS CASE REPORTED VIA EMAIL REFERS TO A FEMALE CONSUMER WHOSE AGE, MEDICAL HISTORY, CONCOMITANT MEDICATIONS AND ALLERGIES WERE NOT REPORTED. THE CONSUMER USED THE NIX ULTRA LICE TREATMENT KIT FOR LICE PREVENTION AND EXPERIENCED AN EYE BURN, EYE SWELLING, AND EYE STINGING. SHE WENT TO THE OPHTHALMOLOGIST AND A LENS WAS PUT IN THE EYE AND SHE WAS PRESCRIBED PREDNISONE EYE DROPS AND ANTIBIOTICS. SHE ADVISED THAT SHE LIKELY GOT SOME IN HER EYE DURING USE. THIS CASE OUTCOME IS RECOVERING/RESOLVING. MEDDRA VERSION 27.1. EXPECTEDNESS: CHEMICAL BURN OF EYE: UNEXPECTED, EYE PAIN: UNEXPECTED, EYE SWELLING: UNEXPECTED, ACCIDENTAL EXPOSURE TO PRODUCT, DEVICE USE ISSUE. ACCORDING TO THE COMPANY REFERENCE SAFETY INFORMATION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1814091 NIX ULTRA LICE REMOVAL KIT DETECTORS AND REMOVERS, LICE, (INCLUDING COMBS) LJL 2024G18

Patients

Seq Age Sex Outcome Treatment
1 NA Female Other| R