BASIS EAR NOSE & THROAT MED-CHECK LIGHT * UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 1999-10-02 for BASIS EAR NOSE & THROAT MED-CHECK LIGHT * UNK manufactured by Polymedica Healthcare, Inc..

Event Text Entries

[18191316] Adult male examined for questionable streptococcus infection by rptr. Rptr was unable to visualize the ear drums because the ear speculum and light were not aligned. (rptr had previously bought two other instruments which he tried on his wife and son with the same results. ) also: tongue depressors bend and are useless. Rptr urges that the product be withdrawn from the market. It is sold in pharmacies. Add'l event date 8/23/99. Rptr wrote to mfr about a defective light. Mfr's response was that its products were highly tested and guaranteed accurate. The kit rptr received was as a replacement. This is the third kit rptr has tried to use as an otoscope. None of them provide light on the tympanic membrane, using regular examination procedure of pulling the earlobe upward and posteriorly. Rptr is trained in otosocpic use. Rptr feels these kits are useless for ear examination.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1017299
MDR Report Key244335
Date Received1999-10-02
Date of Report1999-10-01
Date of Event1999-08-04
Date Added to Maude1999-10-14
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameBASIS EAR NOSE & THROAT MED-CHECK LIGHT
Generic NameFIBEROPITC LIGHT, MAGNIFIER & EAR SPECULUM
Product CodeEPY
Date Received1999-10-02
Model Number*
Catalog NumberUNK
Lot Number*
ID Number311314
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key236712
ManufacturerPOLYMEDICA HEALTHCARE, INC.
Manufacturer Address720 CORPORATE CIRCLE, STE R GOLDEN CO 80401 US


Patients

Patient NumberTreatmentOutcomeDate
101. Other 1999-10-02

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