BEUDAMED
    FDA Adverse Event Other Summary report: N

    VALUE PACK (K-MART) SWAB

    MDR report key: 87879 · Received April 21, 1997

    Report

    Report Number
    1218939-1997-00008
    Event Type
    Other
    Date Received
    April 21, 1997
    Date of Event
    July 11, 1996
    Report Date
    April 21, 1997
    Manufacturer
    AMERICAN WHITE CROSS, INC.
    Product Code
    FXF
    Removal / Correction Number
    NA
    Report Source
    Manufacturer report
    Reporter Location
    LA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    USER WAS CLEANING EAR WITH COTTON SWAB WHEN TIP DISLODGED IN EAR CANAL. REQUIRED MEDICAL ATTENTION TO REMOVE SWAB TIP FROM EAR CANAL.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 VALUE PACK (K-MART) SWAB COTTON TIPPED SWAB FXF AMERICAN WHITE CROSS, INC. NA UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 16 YR Required Intervention