MAUDE MDR 813346

MDR report key
813346
Report number
MW1041838
Event key
0
Event type
3
Date of event
2007-01-06
Date received
2007-02-01
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
305
Health professional
3
Initial report to FDA
3
Event location
3

Related Records

Manufacturer Contact

Report source
P
Manufacturer link flag
N

Devices

SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1HYDRO-PULSE SINUS IRRIGATION SYSTEMNAHYDRO-MED, INCKARCURRENT MODEL**NY

Patients

SequenceReceivedTreatmentOutcome
12007-02-0101. O

Event Narratives

D

Patient 1

THIS IS A COPY OF THE LETTER I SENT TO THE DEVICE MFR: SINCE 06/05, I HAVE OWNED THREE HYDRO-PULSE SINUS IRRIGATION SYSTEMS. THE FIRST ONE WHICH I PURCHASED UPON THE RECOMMENDATION OF DR OF THE SCHOOL OF MEDICINE BEGAN LEAKING WITHIN SIX MONTHS OF USE, AND SHORTED-OUT SHORTLY THEREAFTER. YOU REPLACED THAT ONE, WITH THE UNIT THAT IS THE SUBJECT OF THIS LETTER. I HAVE A THIRD DEVICE WHICH IS NOT USED OFTEN. THE REPLACEMENT DEVICE WAS PUT INTO SERVICE IN 06/06. IT BEGAN LEAKING, EXACTLY AS THE FIRST ONE DID, IN 11/06. LAST WEEK, AFTER RETURNING FROM A WEEK OF TRAVEL, THE DEVICE WOULD NOT TURN ON. I LEFT IT PLUGGED IN, AND WITHIN A HOUR SMELLED THE DISTINCTIVE ORDER OF BURNING ELECTRICAL INSULATION. I DISCOVERED THAT THE UNIT WAS HOT TO TOUCH, AND BEGINNING TO SMOKE. I UNPLUGGED IT AND REMOVED IT FROM MY HOME. I ESTIMATE THAT THIS UNIT WAS USED LESS THAN 300 TIMES. AT THIS POINT, I WILL NOT USE THE HYDRO-PULSE DEVICE AS I DEEM IT AN UNACCEPTABLE SHOCK AND FIRE HAZARD. I AM WRITING TO INFORM YOU OF THIS SERIOUS PROBLEM. AS NOTED I HAVE COPIED DR, AS HE SHOULD BE APPRISED OF THIS, ALSO. FURTHER, WHILE I BELIEVE THIS DEVICE IS REGULATED BY THE U.S. CONSUMER PRODUCT SAFETY COMMISION, IT COULD ACTUALLY BE UNDER THE JURISDICTION OF THE U.S. FOOD AND DRUG ADMINISTRATION, AS A MEDICAL DEVICE. THUS, I HAVE COPIED THIS LETTER TO BOTH OF THOSE AGENCIES. I LOOK FORWARD TO YOUR PROMPT ATTENTION TO THIS AND HOPE THE PROBLEM IS RESOLVED BEFORE ANYONE IS INJURED.

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