MAUDE Adverse Event Report: WALGREEN CO. WALGREENS; PERSONAL STEAM INHALER

Device Problem Burst Container or Vessel (1074)

Patient Problem Caustic/Chemical Burns (2549)

Event Date 08/30/2015

Event Type  Injury  

Event Description

Cust.Used personal steam inhaler and vaporizing liquid in tandem - caused an explosive splash of liquid upon customer's face and a signification traumatic chemical burn to face, nose, eyes, cheeks, lips and eye lids.

• Brand Name: WALGREENS
• Type of Device: PERSONAL STEAM INHALER
• Manufacturer (Section D): WALGREEN CO.
• MDR Report Key: 6806758
• MDR Text Key: 83109254
• Report Number: MW5071676
• Device Sequence Number: 0
• Product Code: KFZ
• Combination Product (y/n): N
• Reporter Country Code: US
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Voluntary
• Reporter Occupation: Other Health Care Professional
• Type of Report: Initial
• Report Date: 08/08/2017

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 08/18/2017
• Device Operator: No Information
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: No
• Was Device Evaluated by Manufacturer?: No Information
• Type of Device Usage: N
• Patient Sequence Number: 1
• Patient Outcome(s): Hospitalization