WAX VAC

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2013-05-28 for WAX VAC manufactured by Wax Vac Ear Cleaner.

Event Text Entries

[3529329] I, (b)(6), have the wax vac. My son used it and the rubber tip got stock in his ear and his dad and i could not get it out, so we had to go to the er to get it out and also it is a highly chocking hazard.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5030362
MDR Report Key3144869
Date Received2013-05-28
Date of Report2013-05-28
Date of Event2013-05-26
Date Added to Maude2013-06-05
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameWAX VAC
Generic NameWAX VAC
Product CodeJYH
Date Received2013-05-28
Lot NumberNA
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerWAX VAC EAR CLEANER
Manufacturer AddressP.O. BOX 3008 WALLINGFORD CT 06494 US 06494


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2013-05-28

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