FDA Adverse Event
Other
Summary report: N
BETTER WATER, INC.
MDR report key: 300046
·
Received October 3, 2000
Report
- Report Number
- 1055109-2000-00001
- Event Type
- Other
- Date Received
- October 3, 2000
- Date of Event
- September 29, 2000
- Report Date
- October 3, 2000
- Manufacturer
- BETTER WATER, INC.
- Product Code
- FIP
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
CITY BOOSTER PUMP SYSTEM DID NOT TURN OFF DUE TO A STUCK SWITCH. EXCESS PRESSURE WAS RELIEVED TO INLET SIDE OF PUMP AS DESIGNED. SINCE THE SAME MOTOR WAS RECIRCULATED, IT BEGAN TO HEAT UP. STAFF FAILED TO NOTICE THIS. "PT" NOTICED A WATER LEAK AT A CHECK VALVE, AND INSTEAD OF PROPERLY TURNING OFF THE PUMP BY THE MARKED SWITCH, CLOSED A VALVE HANDLE, CAUSING AN INSTANT INCREASE IN PRESSURE, AND THE VALVE BECAME DISCONNECTED FROM THE PUMP AND SPRAYED THE HOT WATER ON "PT"'S LEG, ALLEGEDLY CAUSING BURNS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | BETTER WATER, INC. | WATER TREATMENT SYSTEM (COMPONENT) | FIP | BETTER WATER, INC. | 7.0 GPM WATER SYSTEM | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN | Other |