MAUDE Adverse Event Report: SAALT, LLC SAALT; PINK SMALL

Model Number PINK SMALL

Device Problem Difficult to Remove (1528)

Patient Problem Insufficient Information (4580)

Event Date 05/29/2020

Event Type  Injury  

Event Description

Customer reached out letting saalt know that the cup had been inserted overnight, and she sought medical attention after trying to remove the cup every hour with no luck.The customer watched (b)(4) videos and read tips online without any luck.The customer decided to seek medical care for removing their cup.Instructions for use (ifu) states to remove the cup: "consider removing your cup in the shower or while sitting on a toilet.Always pinch the grip rings at the base of the cup to break the seal (don't pull on the stem alone).Wiggle your cup back and forth while holding the grip rings and keep your cup upright as you pull it past your labia to avoid spilling." it also states that "the cup can move higher if a good seal isn't formed when first inserted, but it will not get lost in the vagina.Walk around and wait 30 minutes and try again, or use your pelvic muscles to bear down on the cup, pushing it lower.Squatting in the shower can also help.Once in reach, pinch the lower base of cup to break the seal, and then gently pull it out." the ifu further states that "uterine lining can sometimes get stuck inside the cup and block the suction holes making it difficult to remove the cup." submission of this report does not constitute an admission that the manufacturer's product caused or contributed to the event.

• Brand Name: SAALT
• Type of Device: PINK SMALL
• Manufacturer (Section D): SAALT, LLC; 6148 n. discovery way; ste. 175; boise ID 83713
• Manufacturer Contact: danielle burden ; 6148 n. discovery way; ste. 175; boise, ID 83713 ; 8013682646
• MDR Report Key: 10856959
• MDR Text Key: 216830006
• Report Number: 3014276660-2020-20111
• Device Sequence Number: 1
• Product Code: HHE
• Combination Product (y/n): N
• Reporter Country Code: US
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: consumer
• Reporter Occupation: Other
• Remedial Action: Replace
• Type of Report: Initial
• Report Date: 10/01/2020

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 11/17/2020
• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Device Operator: Lay User/Patient
• Device Model Number: PINK SMALL
• Device Lot Number: 0119SP
• Was Device Available for Evaluation?: No
• Date Manufacturer Received: 05/29/2020
• Was Device Evaluated by Manufacturer?: Device Not Returned to Manufacturer
• Is This a Reprocessed and Reused Single-Use Device?: No
• Type of Device Usage: Unknown
• Patient Sequence Number: 1
• Patient Outcome(s): Required Intervention
• Patient Age: 32 YR