FDA Adverse Event Malfunction Summary report: N

S8 ELITE- AMERICAS

MDR report key: 1122211 · Received August 15, 2008

Report

Report Number
3004604967-2008-00011
Event Type
Malfunction
Date Received
August 15, 2008
Date of Event
June 26, 2008
Report Date
August 14, 2008
Product Code
BZD
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

SHORTING IN THE POWER SUPPLY MODULE CAUSED THERMAL DAMAGE WITH SOME EVIDENCE OF EXTERNAL FLAME.

Description of Event or Problem · 1

(B) (6) INFORMED (B) (4) (RESMED TERRITORY MANAGER) THAT THEIR CUSTOMER TOLD THEM THAT HE FIRST SMELLED SMOKE FROM HIS UNIT. AND WHEN HE OPERATED THE UNIT, THE UNIT CAUGHT FIRE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 S8 ELITE- AMERICAS S8 ELITE- AMERICAS BZD 33021 NA

Patients

Seq Age Sex Outcome Treatment
1