FDA Adverse Event Injury Summary report: N

6 INCH COTTON TIPPED APPLICATOR

MDR report key: 24873928 · Received April 14, 2026

Report

Report Number
MW5186809
Event Type
Injury
Date Received
April 14, 2026
Date of Event
April 6, 2026
Report Date
April 9, 2026
Manufacturer
MEDLINE INDUSTRIES LP - NORTHFIELD
Product Code
KXG
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
KY, US
Reporter Occupation
RISK MANAGER
Health Professional
Yes

Narratives

Description of Event or Problem · 0

ADVANCED PRACTICE REGISTERED NURSE PERFORMED AN IN-OFFICE PROCEDURE ON THIS PATIENT CALLED A SPHENOPALATINE NERVE BLOCK IN WHICH A STERILE COTTON TIPPED APPLICATOR WITH LIDOCAINE IS PLACED IN BOTH NASAL CAVITIES TO HELP BREAK-UP MIGRAINE CLUSTER HEADACHES. THE APPLICATORS USED WERE: MEDLINE INDUSTRIES, LP AND ARE THE MEDLINE BRAND. THEY ARE 6 INCH PLASTIC SHAFT STERILE COTTON TIPPED APPLICATORS THAT COMES IN PACKS OF 2. THE LOT NUMBER IS 29523100001, MANUFACTURE DATE 10-05-2023. THE REFERENCE NUMBER IS (B)(4). WHEN THE APRN REMOVED THE COTTON TIPPED APPLICATOR FROM THE LEFT NASAL CAVITY, THE COTTON TIP WAS NO LONGER ATTACHED TO THE APPLICATOR. THE PATIENT WAS ADVISED TO GO TO THE EMERGENCY ROOM FOR FURTHER EVALUATION TO ENSURE THE COTTON TIPPED APPLICATOR WASN'T STUCK IN HIS NASAL PASSAGE. AT THIS TIME THE PATIENT HAS CONTINUED TO DENY EVALUATION AND TREATMENT TO DETERMINE THE LOCATION OF THE COTTON TIP.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
285640 6 INCH COTTON TIPPED APPLICATOR APPLICATOR, ABSORBENT TIPPED, STERILE KXG MEDLINE INDUSTRIES LP - NORTHFIELD MDS202095 29523100001

Patients

Seq Age Sex Outcome Treatment
1 57 YR Male Required Intervention