WATERPIK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2011-05-07 for WATERPIK manufactured by Water Pik, Inc..

Event Text Entries

[1981307] Waterpik has a nasal irrigation device that allows users to flush the sinuses. After a few weeks of use, i noticed brown rust like water coming out of my nose. Come to find out the device doesn't seal properly and allows water to enter into the battery compartment. I requested a replacement and waterpik was more than happy to replace my "defective" unit. After a few weeks of using the new one i had the same issue with rusty battery water. (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5020549
MDR Report Key2088200
Date Received2011-05-07
Date of Report2011-05-07
Date of Event2011-02-02
Date Added to Maude2011-05-18
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameWATERPIK
Generic NameSINUSENSE WATER PULSATOR
Product CodeKMA
Date Received2011-05-07
Lot NumberNA
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerWATER PIK, INC.
Manufacturer Address1730 E. PROSPECT RD. FORT COLLINS CO 80553 US 80553


Patients

Patient NumberTreatmentOutcomeDate
101. Life Threatening; 2. Other 2011-05-07

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