FDA.reportPublic FDA data

MAUDE MDR 285075

MDR report key
285075
Report number
MW1019259
Event key
0
Event type
3
Date of event
2000-02-01
Date received
2000-07-10
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
0
Event location
3

Manufacturer Contact#

Report source
P
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1ALPINE AIR AIR PURIFIER AND OZONE GENAIR PURIFIER AND OZONE GENERATORALPINE AIRFRFUNKUNKUNKN*

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12000-07-100

Event Narratives#

D

Patient 1

RPTR HAD UNIT PLACED IN THEIR PLACE OF EMPLOYMENT FOR THEIR MEDICAL CONDITION AND INSTEAD IT EXACERBATED THEIR SYMPTOMS WHICH WERE TREATED BY DOUBLING MEDICATION.