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MAUDE Adverse Event Report: EAR CANDLE
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EAR CANDLE
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Health Effect - Clinical Codes
Inflammation (1932); Pain (1994)
Date of Event
05/16/2017
Type of Reportable Event
Serious Injury
Event or Problem Description
A (b)(6) year old female presented with ear pain resulting from use of ear candling; mild inflammation of the ear canal.Is the product over-the-counter: yes.Event abated after use stopped or dose reduced: yes.
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Brand Name
EAR CANDLE
Common Device Name
EAR CANDLE
MDR Report Key
6604693
Report Number
MW5070129
Device Sequence Number
1156026
Product Code
JYT
Initial Reporter Country
US
Number of Events Summarized
1
Summary Report (Y/N)
N
Reporter Type
Voluntary
Initial Reporter Occupation
Physician
Type of Report
Initial
Report Date
(Section B)
05/18/2017
1
Device was Involved in the Event
1
Patient was Involved in the Event
Is this an Adverse Event Report?
Yes
Is this a Product Problem Report?
No
Operator of Device
No Information
Was Device Available for Evaluation?
No
Initial Date Received by Manufacturer
Not provided
Initial Report FDA Received Date
05/18/2017
Patient Sequence Number
1
Outcome Attributed to Adverse Event
Other;
Patient Age
4 YR
Patient Weight
18
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