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.
[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
Report Number | MW5068745 |
MDR Report Key | 6446322 |
Date Received | 2017-03-28 |
Date of Report | 2017-03-14 |
Date of Event | 2017-03-01 |
Date Added to Maude | 2017-03-30 |
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 | 3 |
Health Professional | 3 |
Initial Report to FDA | 3 |
Report to FDA | 3 |
Event Location | 3 |
Single Use | 3 |
Previous Use Code | 3 |
Event Type | 3 |
Type of Report | 0 |
Brand Name | WALGREENS |
Generic Name | PERSONAL STEAM INHALER |
Product Code | KCO |
Date Received | 2017-03-28 |
Device Availability | * |
Device Eval'ed by Mfgr | I |
Device Sequence No | 1 |
Device Event Key | 0 |
Manufacturer | UNK |
Patient Number | Treatment | Outcome | Date |
---|---|---|---|
1 | 0 | 1. Hospitalization | 2017-03-28 |