WATER WORKS

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-10-12 for WATER WORKS manufactured by Abbott Research Group.

Event Text Entries

[1466148] Instructions for use read "use tap water". Patient does not have city water and developed an infection. Chronic pelvic pain, pid and bacterial vaginosis. System is not safe.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5017708
MDR Report Key1869048
Date Received2010-10-12
Date of Report2010-10-12
Date of Event2010-10-01
Date Added to Maude2010-10-18
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameWATER WORKS
Generic NameHOMEDOUCHE SYSTEM
Product CodeHED
Date Received2010-10-12
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Sequence No1
Device Event Key0
ManufacturerABBOTT RESEARCH GROUP
Manufacturer Address235 ALPHA DR. PITTSBURGH PA 15238 US 15238


Patients

Patient NumberTreatmentOutcomeDate
101. Other; 2. Required No Informationntervention 2010-10-12

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