VAC-1 WITH ASPIRATOR OPTION

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-05-28 for VAC-1 WITH ASPIRATOR OPTION manufactured by Lightning Enterprises.

Event Text Entries

[4655591] I have had excellent hearing all my life, but i needed earwax removed from both ears. The audiologist used a suction/vacuum device. When he placed the tip of the tube in my ear and turned on the machine, i flinched and immediately said it was too loud. I tried to push his hand away. He agreed the machine was loud but said the procedure would be quick and cause no damage. Wrong. I was almost completely deaf for several months and still have severely impaired hearing as confirmed by tests done in an ent office.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5036430
MDR Report Key3846043
Date Received2014-05-28
Date of Report2014-05-27
Date of Event2013-09-03
Date Added to Maude2014-06-04
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 Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameVAC-1 WITH ASPIRATOR OPTION
Generic NameVAC-1 WITH ASPIRATOR OPTION
Product CodeJYH
Date Received2014-05-28
OperatorHEALTH PROFESSIONAL
Device Sequence No1
Device Event Key0
ManufacturerLIGHTNING ENTERPRISES


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2014-05-28

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