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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: NEILMED PHARMACEUTICALS, INC. NEILMED SINUGATOR CORDLESS PULSATING NASAL WASH KIT WITH ONE IRRIGATOR, 30 PREMI; IRRIGATOR, POWERED NASAL

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NEILMED PHARMACEUTICALS, INC. NEILMED SINUGATOR CORDLESS PULSATING NASAL WASH KIT WITH ONE IRRIGATOR, 30 PREMI; IRRIGATOR, POWERED NASAL Back to Search Results
Model Number SG-ENU-INT
Device Problems Corroded (1131); Moisture Damage (1405); Structural Problem (2506); Explosion (4006)
Patient Problem Eye Injury (1845)
Event Date 05/05/2021
Event Type  Injury  
Event Description
Device exploded, eye damaged; item model# sg-enu-int, "(b)(4)" i was able to use this 4 times.Not 4 weeks, 4 days, 4 hours.Probably about 4 minutes.That's it, the item exploded causing injury.After finding out that (b)(6) would not take a return and the seller would not allow me to return it.The problem is that this thing is not sealed properly.The top cap part that holds the nozzle has no seal at all.The motor was saturated.The circuit board switches were actually corroded.Fda safety report id # (b)(4).
 
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Brand Name
NEILMED SINUGATOR CORDLESS PULSATING NASAL WASH KIT WITH ONE IRRIGATOR, 30 PREMI
Type of Device
IRRIGATOR, POWERED NASAL
Manufacturer (Section D)
NEILMED PHARMACEUTICALS, INC.
MDR Report Key12142286
MDR Text Key260703912
Report NumberMW5102400
Device Sequence Number1
Product Code KMA
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Patient
Type of Report Initial
Report Date 07/07/2021
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received07/09/2021
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Model NumberSG-ENU-INT
Device Lot NumberM050112
Was Device Available for Evaluation? No
Was Device Evaluated by Manufacturer? No Information
Type of Device Usage N
Patient Sequence Number1
Patient Outcome(s) Life Threatening; Other;
Patient Age38 YR
Patient Weight84
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