FDA Adverse Event Other Summary report: N

INVERNESS EAR PIERCING SYSTEM

MDR report key: 951538 · Received November 15, 2007

Report

Report Number
2243569-2007-00005
Event Type
Other
Date Received
November 15, 2007
Date of Event
December 31, 2005
Report Date
November 14, 2007
Manufacturer
INVERNESS CORPORATION
Product Code
JYS
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

INCIDENT REPORTED TO INVERNESS ON 2/6/2006. REQUESTED INFORMATION ON 9/25/2006 AND 10/10/2006 AND 7/27/2007. INFORMATION NOT RECEIVED UNTIL 10/19/2007. EARRING WERE NOT RETURNED TO MANUFACTURER FOR EVALUATION.

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 ABOUT 5 DAYS AFTER. AN ORAL ANTIBIOTIC WAS PRESCRIBED AT THAT TIME. SOUGHT MEDICAL ATTENTION AGAIN FIVE DAYS LATER. AN ORAL ANTIBIOTIC WAS PRESCRIBED AT THAT TIME.

Devices

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

Patients

Seq Age Sex Outcome Treatment
1 42 YR Other