MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1998-11-19 for EAR WAX REMOVER * manufactured by Deer Creek Products.
[17480565]
Potentially unsafe product in advertisement.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW1014997 |
| MDR Report Key | 197979 |
| Date Received | 1998-11-19 |
| Date of Report | 1998-11-04 |
| Date Added to Maude | 1998-11-23 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Reporter Occupation | AUDIOLOGIST |
| Health Professional | 3 |
| Initial Report to FDA | 0 |
| Report to FDA | 0 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | EAR WAX REMOVER |
| Generic Name | WAR WAX REMOVER |
| Product Code | JZE |
| Date Received | 1998-11-19 |
| Model Number | * |
| Catalog Number | * |
| Lot Number | * |
| ID Number | * |
| Operator | LAY USER/PATIENT |
| Device Availability | Y |
| Implant Flag | N |
| Date Removed | * |
| Device Sequence No | 1 |
| Device Event Key | 192334 |
| Manufacturer | DEER CREEK PRODUCTS |
| Manufacturer Address | 3038 NW 25TH AVE POMPANO BEACH FL 33069 US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1998-11-19 |