MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2019-03-11 for EZY DOSE PILL PLANNER 67585WM manufactured by Apothecary Products, Llc.
[138397059]
The customer stated they pressed the friday tab on the pill planner to dispense medication into a medicine cup and the pill planner tab fell into the medicine cup along with the pills. Not realizing the tab in the cup, the customer swallowed the tab along with the pills and choked on the pill planner tab. They were able to retrieve the tab from their throat after performing the heimlich against an ottoman. The customer went to the doctor the next day and was told their throat was scratched, but should heal.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 0002183416-2019-00003 |
| MDR Report Key | 8408345 |
| Report Source | CONSUMER |
| Date Received | 2019-03-11 |
| Date of Report | 2019-03-11 |
| Date of Event | 2019-02-15 |
| Date Mfgr Received | 2019-02-18 |
| Date Added to Maude | 2019-03-11 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 0 |
| Initial Report to FDA | 0 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | PAXIA HER |
| Manufacturer Street | 11750 12TH AVE S |
| Manufacturer City | BURNSVILLE MN 55337 |
| Manufacturer Country | US |
| Manufacturer Postal | 55337 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | EZY DOSE PILL PLANNER |
| Generic Name | PILL PLANNER |
| Product Code | NXB |
| Date Received | 2019-03-11 |
| Model Number | 67585WM |
| Device Availability | N |
| Device Eval'ed by Mfgr | R |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | APOTHECARY PRODUCTS, LLC |
| Manufacturer Address | 11750 12TH AVE S BURNSVILLE MN 55337 US 55337 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Other | 2019-03-11 |