BEUDAMED
    FDA Adverse Event Injury Summary report: N

    Q TIPS

    MDR report key: 4128728 · Received September 24, 2014

    Report

    Report Number
    MW5038386
    Event Type
    Injury
    Date Received
    September 24, 2014
    Date of Event
    September 19, 2014
    Report Date
    September 24, 2014
    Manufacturer
    UNILEVER
    Product Code
    KXG
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    PA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    BOUGHT A BOX OF Q TIPS WHICH HAVE ON THEM A SUBSTANCE RESEMBLING BLOOD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    595761 Q TIPS Q TIPS KXG UNILEVER 83136291

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR Disability