ALCOTEST 7110 MKIII-C

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2011-08-26 for ALCOTEST 7110 MKIII-C manufactured by Draeger Safety Diagnostic.

Event Text Entries

[16098363] On (b)(6) 2010, i was arrested for dwi in the township of (b)(6) in the state of (b)(6). I was directed to blow into a draeger alcotest 7110 mkiii-c. The serial number was (b)(4). The device reported a long blowing time that i did not believe that i could produce. My suspicions were confirmed by a pulmonologist, dr (b)(6), m. D. It is my understanding that others defendants have produced longer blowing times inconsistent with normal human function. The device is designed so that it is never calibrated for the pulmonary functions that it reports. The liter volume, blowing time, and pressure and flow sensors are not routinely calibrated. In addition, the mfr has failed to comply with 21 cfr part 820. They failed to submit a 510k. They failed to register their production facilities. They changed their software without fda approval.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5021926
MDR Report Key2232210
Date Received2011-08-26
Date of Report2011-08-26
Date of Event2010-02-05
Date Added to Maude2011-09-08
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 FDA3
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameALCOTEST 7110 MKIII-C
Generic NameNONE
Product CodeDJZ
Date Received2011-08-26
OperatorOTHER
Device AvailabilityY
Device Sequence No1
Device Event Key0
ManufacturerDRAEGER SAFETY DIAGNOSTIC
Manufacturer Address3135 QUARRY RD. TELFORD PA 18969 US 18969


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2011-08-26

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