FDA Adverse Event
Injury
Summary report: N
WATER IONIZER
MDR report key: 589071
·
Received April 5, 2005
Report
- Report Number
- MW1035113
- Event Type
- Injury
- Date Received
- April 5, 2005
- Report Date
- April 5, 2005
- Manufacturer
- ALP CHITO
- Product Code
- JRS
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- NJ, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
NEWSPAPER AD SAYS PRODUCT WAS FDA APPROVED. CUSTOMER CHECKED WITH FDA AND ALL IS FALSE. CO IS NOT EVEN REGISTERED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | WATER IONIZER | * | JRS | ALP CHITO | UNK | UNK |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 27 YR | Required Intervention |