MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2000-07-10 for ALPINE AIR AIR PURIFIER AND OZONE GEN UNK manufactured by Alpine Air.
[187239]
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.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW1019259 |
| MDR Report Key | 285075 |
| Date Received | 2000-07-10 |
| Date of Report | 2000-07-10 |
| Date of Event | 2000-02-01 |
| Date Added to Maude | 2000-07-11 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 0 |
| Health Professional | 3 |
| Initial Report to FDA | 0 |
| Report to FDA | 0 |
| Event Location | 3 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | ALPINE AIR AIR PURIFIER AND OZONE GEN |
| Generic Name | AIR PURIFIER AND OZONE GENERATOR |
| Product Code | FRF |
| Date Received | 2000-07-10 |
| Model Number | UNK |
| Catalog Number | UNK |
| Lot Number | UNK |
| ID Number | UNK |
| Operator | LAY USER/PATIENT |
| Device Availability | * |
| Implant Flag | N |
| Date Removed | A |
| Device Sequence No | 1 |
| Device Event Key | 275877 |
| Manufacturer | ALPINE AIR |
| Manufacturer Address | * RAPID CITY SD * US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2000-07-10 |