FDA Adverse Event Other Summary report: N

INVERNESS EAR PIERCING SYSTEM

MDR report key: 854689 · Received May 22, 2007

Report

Report Number
2243569-2007-00001
Event Type
Other
Date Received
May 22, 2007
Date of Event
September 12, 2005
Report Date
May 8, 2007
Manufacturer
INVERNESS CORP.
Product Code
JYS
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

INCIDENT REPORTED TO INVERNESS ON 7/27/2006. REQUESTED INFO ON 8/10/2006 AND 8/25/2006. INFO NOT RECEIVED UNTIL 4/13/2007.

Description of Event or Problem · 1

CONSUMER CLAIMS TO HAVE HAD EARS PIERCED AT A RETAIL VENDOR WITH THE INVERNESS SYSTEM IN 2005. SOUGHT MEDICAL ATTENTION FOR REDNESS AND SWELLING AT THE PIERCING SITE IN 2006. AN ORAL ANTIBIOTIC WAS PRESCRIBED AT THAT TIME. SOUGHT MEDICAL ATTENTION AGAIN ONE DAY LATER THE NEXT MONTH AND AN INCISION AND DRAINAGE WAS PERFORMED AS AN OUTPATIENT PROCEDURE. CONTINUED TAKING SAME ORAL ANTIBIOTIC.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 INVERNESS EAR PIERCING SYSTEM EAR PIERCING INSTRUMENT JYS INVERNESS CORP.

Patients

Seq Age Sex Outcome Treatment
1 44 YR Other