FDA Adverse Event Malfunction Summary report: N

COMPASS HEALTH BRANDS

MDR report key: 12158788 · Received July 13, 2021

Report

Report Number
3012316249-2021-00022
Event Type
Malfunction
Date Received
July 13, 2021
Report Date
July 13, 2021
Manufacturer
COMPASS HEALTH BRANDS
Product Code
INN
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
501

Narratives

Description of Event or Problem · 1

THE CUSTOMER REPORTED THAT, WHEN THE END USER PLUGGED THIS SEAT IN FOR THE FIRST TIME, IT 'STARTED SMOKING' AND WOULD NOT LOWER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1056373 COMPASS HEALTH BRANDS UL PREMIUM POWER SEAT 20" INN COMPASS HEALTH BRANDS CCFPS3020

Patients

Seq Age Sex Outcome Treatment
1