FDA Adverse Event
Malfunction
Summary report: N
ENDOCLOT
MDR report key: 16500528
·
Received March 8, 2023
Report
- Report Number
- 3013155768-2023-00001
- Event Type
- Malfunction
- Date Received
- March 8, 2023
- Report Date
- March 6, 2023
- Manufacturer
- ENDOCLOT PLUS CO., LTD.
- Product Code
- BTI
- PMA / PMN Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CH
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 0
RECEIVED THE NOTICE FROM THE DISTRIBUTOR CLAIMING THE CUSTOMER SERVICE AGENT AND SALES RECEIVED A TEXT FROM THE CUSTOMER CLAIMING AN ENDOCLOT AIR COMPRESSOR DOES NOT HAVE ENOUGH AIR FLOW. THERE WAS NO DEATH, INJURY OR INFECTION RELATED TO THIS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 121387 | ENDOCLOT | ENDOCLOT AIR COMPRESSOR | BTI | ENDOCLOT PLUS CO., LTD. | EPAC-2 | D122055 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |