BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    BITESTICK

    MDR report key: 22588 · Received June 20, 1995

    Report

    Report Number
    MW1006292
    Event Type
    Malfunction
    Date Received
    June 20, 1995
    Date of Event
    May 25, 1995
    Report Date
    June 9, 1995
    Manufacturer
    SAGE PRODUCTS, INC.
    Product Code
    JXL
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT BIT A BITESTICK IN HALF AND GAGGED. PT TRIED TO VOMIT BECAUSE HALF OF STICK REMAINED IN MOUTH. PT WAS ABLE TO COUGH OUT THE RETAINED PORTION ON HER OWN. PT SUFFERED NO INJURY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BITESTICK BITESTICK JXL SAGE PRODUCTS, INC. 1421

    Patients

    Seq Age Sex Outcome Treatment
    1 24 YR