UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2007-09-10 for UNK manufactured by .

Event Text Entries

[683335] In 2007, i was asked to give a breathalyzer sample at the criminal process center. I observed condensation inside the clear tube leading from the mouth piece into the test device. This condensation obviously collected in the tube from previous test subjects. I am required by law to give a sample of my breath or lose my driving privileges for a year. I could not give a sample in gear of accidentally inhaling any airborne or foreign germs. This is not a proper sanitary practice and i have been getting the run around from local sources. You are, i understand, responsible for insuring the devices i have described earlier are being kept to fda standards. Please have one of your representatives call me as soon as possible or call my legal representative.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5003708
MDR Report Key910392
Date Received2007-09-10
Date of Report2007-09-07
Date of Event2007-07-01
Date Added to Maude2007-09-19
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 FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Generic NameBREATHALYZER
Product CodeDJZ
Date Received2007-09-10
Model NumberUNK
OperatorOTHER
Device AvailabilityN
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key887508


Patients

Patient NumberTreatmentOutcomeDate
101. Life Threatening; 2. Other 2007-09-10

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