ALPINE INDUSTRIES *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2001-04-19 for ALPINE INDUSTRIES * manufactured by Alpine Industries.

Event Text Entries

[16615843] Rptr and spouse purchased an air purification unit mfg by alpine industries five years ago and have developed respiratory problems over the past two years which they have attributed to use of the device. Rptr believes that the unit puts levels of ozone and nitrous oxide into the air. The literature sold with the unit claims that it "kills bacteria and allergens in the air. " rptr also states that they have friends and family who have also used the unit and have developed respiratory illnesses such as asthma and bronchial infections. Rptr is planning on storing or destroying the device and accompanying literature but would like add'l contact from the fda before rptr proceeds.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW4002985
MDR Report Key328544
Date Received2001-04-19
Date of Report2001-03-14
Date of Event1996-01-01
Date Added to Maude2001-04-26
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameALPINE INDUSTRIES
Generic NameAIR PURIFICATION UNIT
Product CodeFRF
Date Received2001-04-19
Model Number*
Catalog Number*
Lot Number*
ID Number*
OperatorLAY USER/PATIENT
Device Availability*
Implant FlagN
Date RemovedA
Device Sequence No1
Device Event Key317937
ManufacturerALPINE INDUSTRIES
Manufacturer Address9199 CENTRAL AVE NE BLAINE MN 554343422 US


Patients

Patient NumberTreatmentOutcomeDate
10 2001-04-19

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