ARES APNEA RISK EVALUATION SYSTEM

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2017-11-16 for ARES APNEA RISK EVALUATION SYSTEM manufactured by Water Mark Medical Inc..

Event Text Entries

[92523301] I was sent an ares device that you wear 2 nights to test for sleep apnea. It involved a little machine, with tubing and a belt. I was told to watch this: (b)(6). My machine had add'l tubing and a belt, which was not explained in the video. I used the device and the 1st night i noticed my throat was sore, and the 2nd night it was worse. Well today, day 3 i am very sick. I don't believe the tubing was sanitized correctly. I called the company to complain, and they assured me it was sanitized, but still there is no other reason for me to be ill, except i was getting unsanitary air from the cannula. I returned the device so at this point you would have to contact this company: (b)(6).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5073391
MDR Report Key7040888
Date Received2017-11-16
Date of Report2017-11-15
Date of Event2017-11-13
Date Added to Maude2017-11-17
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameARES APNEA RISK EVALUATION SYSTEM
Generic NameBREATHING FREQUENCY MONITOR
Product CodeBZQ
Date Received2017-11-16
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerWATER MARK MEDICAL INC.


Patients

Patient NumberTreatmentOutcomeDate
101. Deathisabilit 2017-11-16

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