SCRAM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2008-10-22 for SCRAM manufactured by Alcohol Monitoring Services-ams.

Event Text Entries

[959263] I wore a scram alcohol monitoring bracelet. The mfr of the device is ams-alcohol monitoring services. When i was wearing the device, i developed severe bone and joint pain. I went to a rheumatologist and he did a bone scan showing abnormalities in all my joints. Within a month of removing the device, the pain subsided. I have not had another bone scan to see if there has been any change in the bone scan. Scram device was worn for 90 days. Dates of use: 2008. Diagnosis or reason for use: alcohol issues. Event abated after use stopped or dose reduced: yes.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5008736
MDR Report Key1210903
Date Received2008-10-22
Date of Report2008-10-22
Date of Event2008-08-30
Date Added to Maude2008-11-03
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPHARMACIST
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameSCRAM
Generic NameSCRAM
Product CodeOIC
Date Received2008-10-22
Returned To Mfg2008-09-03
OperatorLAY USER/PATIENT
Device AvailabilityR
Implant FlagN
Date RemovedV
Device Sequence No1
Device Event Key1261303
ManufacturerALCOHOL MONITORING SERVICES-AMS


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2008-10-22

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