BEUDAMED
    FDA Adverse Event Other Summary report: N

    WAX VAC

    MDR report key: 3144869 · Received May 28, 2013

    Report

    Report Number
    MW5030362
    Event Type
    Other
    Date Received
    May 28, 2013
    Date of Event
    May 26, 2013
    Report Date
    May 28, 2013
    Manufacturer
    WAX VAC EAR CLEANER
    Product Code
    JYH
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OK, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    I, (B)(6), HAVE THE WAX VAC. MY SON USED IT AND THE RUBBER TIP GOT STOCK IN HIS EAR AND HIS DAD AND I COULD NOT GET IT OUT, SO WE HAD TO GO TO THE ER TO GET IT OUT AND ALSO IT IS A HIGHLY CHOCKING HAZARD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    232965 WAX VAC WAX VAC JYH WAX VAC EAR CLEANER NA

    Patients

    Seq Age Sex Outcome Treatment
    1 11 YR Other