BEUDAMED
    FDA Adverse Event Injury Summary report: N

    EZYDOSE PILL CRUSHER

    MDR report key: 8664286 · Received June 3, 2019

    Report

    Report Number
    0002183416-2019-00004
    Event Type
    Injury
    Date Received
    June 3, 2019
    Date of Event
    May 14, 2019
    Report Date
    June 3, 2019
    Manufacturer
    APOTHECARY PRODUCTS, LLC
    Product Code
    OHY
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE CUSTOMER STATED HER HUSBAND'S PEG TUBE, WHICH IS USED TO ADMINISTER MEDICINE, WAS CLOGGED DUE TO BLACK PARTICLES FROM THE PILL CRUSHER USED TO CRUSH HIS MEDICATION. HE WAS TAKEN TO THE ER TO HAVE THE TUBE CLEANED. NO ADDITIONAL MEDICAL INTERVENTION WAS REQUIRED AND NO SERIOUS INJURY OCCURED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    456021 EZYDOSE PILL CRUSHER PILL CRUSHER OHY APOTHECARY PRODUCTS, LLC 71091

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention