FDA.reportPublic FDA data

MAUDE MDR 3144869

MDR report key
3144869
Report number
MW5030362
Event key
0
Event type
3
Date of event
2013-05-26
Date received
2013-05-28
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
305
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Report source
P
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1WAX VACWAX VACWAX VAC EAR CLEANERJYHNA Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12013-05-2801. O

Event Narratives#

D

Patient 1

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.