TEETHING PRODUCT FILLED WITH GEL-LIKE BEADS, ELEPHANT SHAPE

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-05-07 for TEETHING PRODUCT FILLED WITH GEL-LIKE BEADS, ELEPHANT SHAPE manufactured by Unk.

Event Text Entries

[107822507] This product is a gel bead-filled teether. The beads started to come out. I kept the product to take photos and report it. I cannot find the product online. Document number: (b)(4). Report number: (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5077078
MDR Report Key7494397
Date Received2018-05-07
Date of Report2018-04-25
Date of Event2018-04-25
Date Added to Maude2018-05-08
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 FAMILY MEMBER OR FRIEND
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameTEETHING PRODUCT FILLED WITH GEL-LIKE BEADS, ELEPHANT SHAPE
Generic NameRING-TEETHING FLUID-FILLED
Product CodeKKO
Date Received2018-05-07
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK


Patients

Patient NumberTreatmentOutcomeDate
10 2018-05-07

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