NETI POT REV# 320100506

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-01-20 for NETI POT REV# 320100506 manufactured by Neilmed Pharmaceutical, Inc..

Event Text Entries

[5425426] Using the push bottle neti pot, i filled it with tap water as the directions showed in the picture for weeks now, and have developed a very severe sinus infection. Because of it this is my second round of antibiotics the doctor has tried me on two different antibiotics now to clear the sinus infection. The neti pot puts pressure behind my ears and the water gets stuck in my nasal passages. I feel that because the directions are falsified and shows you just a picture, that because i was informed and proper i've developed an infection that is harder to kill than normal. I also had bleeding when using the neti pot, after i blew my nose not a lot but, i've never had bleeding before.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5040403
MDR Report Key4454429
Date Received2015-01-20
Date of Report2015-01-20
Date of Event2015-01-20
Date Added to Maude2015-01-27
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPATIENT
Health Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameNETI POT
Generic NameNETI POT
Product CodeKMA
Date Received2015-01-20
Model NumberREV# 320100506
Lot Number1108-ENU-US
ID Number6520384-6669059
Device Expiration Date2010-01-01
OperatorLAY USER/PATIENT
Device Sequence No1
Device Event Key0
ManufacturerNEILMED PHARMACEUTICAL, INC.


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2015-01-20

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