BREATHTEK SOLUTION

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2015-03-22 for BREATHTEK SOLUTION manufactured by Otsuka America.

Event Text Entries

[5752279] I recently learned that you (fda) have approved the breathtek solution for use in children. This product should have been removed from the market entirely. No child or adult should experience the pain i suffer from after consuming this solution. I notified the co and registered a complaint to the fda in 2011. I suffer from burning hand and feet syndrome after consuming this product. I still suffer today.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5041665
MDR Report Key4643317
Date Received2015-03-22
Date of Report2015-03-22
Date of Event2015-01-01
Date Added to Maude2015-04-01
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 Professional0
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameBREATHTEK SOLUTION
Generic NameBREATHTEK SOLUTION
Product CodeMSQ
Date Received2015-03-22
Device Sequence No1
Device Event Key0
ManufacturerOTSUKA AMERICA


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2015-03-22

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