FDA Adverse Event Injury Summary report: N

NEIL MED SINUGATOR

MDR report key: 7510644 · Received May 11, 2018

Report

Report Number
MW5077177
Event Type
Injury
Date Received
May 11, 2018
Date of Event
May 6, 2018
Report Date
May 9, 2018
Manufacturer
NEILMED PHARMACEUTICALS, INC.
Product Code
KMA
Report Source
Voluntary report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

NEILMED SINUGATOR CAUSED A DURA TEAR. CEREBROSPINAL FLUID IS LEAKING FROM THE BRAIN. MAY REQUIRE SURGICAL REPAIR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
348252 NEIL MED SINUGATOR IRRIGATOR POWERED NASAL KMA NEILMED PHARMACEUTICALS, INC.

Patients

Seq Age Sex Outcome Treatment
1 43 YR Hospitalization| L