WALGREENS

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-03-28 for WALGREENS manufactured by Unk.

Event Text Entries

[71394028] Customer was using steam inhaler one day and it popped. Was using it for a cold and so was using the vaporizing steam liquid with it. This is what the (b)(6) store employees told him to use with it.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5068745
MDR Report Key6446322
Date Received2017-03-28
Date of Report2017-03-14
Date of Event2017-03-01
Date Added to Maude2017-03-30
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameWALGREENS
Generic NamePERSONAL STEAM INHALER
Product CodeKCO
Date Received2017-03-28
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerUNK


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization 2017-03-28

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