SAALT SMALL PINK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2020-02-18 for SAALT SMALL PINK manufactured by Saalt, Llc.

Event Text Entries

[183553417] Customer reached out to us on (b)(6) 2019 letting us know she had tried the saalt cup for the first time. She stated that a friend had told her to remove the stem from the cup prior to use, so she did so before ever using the cup. When she went to remove the cup, she had difficulty removing the cup and ended up seeking medical help to remove the cup. The customer noted that they watched some (b)(6) videos, blogs, and visited our website to look for tips. Doctor who removed cup also discarded the cup. We offered additional removal tips after being notified and offered a refund for the purchase of the cup.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3014276660-2020-20011
MDR Report Key9720675
Report SourceCONSUMER
Date Received2020-02-18
Date of Report2020-01-30
Date of Event2019-04-23
Date Mfgr Received2019-04-24
Date Added to Maude2020-02-18
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactDANIELLE BURDEN
Manufacturer Street6149 N. MEEKER PL. STE. 110
Manufacturer CityBOISE ID 83713
Manufacturer CountryUS
Manufacturer Postal83713
Manufacturer Phone8013682646
Single Use3
Remedial ActionRL
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSAALT
Generic NameSMALL PINK
Product CodeHHE
Date Received2020-02-18
Model NumberSMALL PINK
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSAALT, LLC
Manufacturer Address6149 N. MEEKER PLACE STE. 110 BOISE ID 83713 US 83713


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-02-18

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