FDA Adverse Event Malfunction Summary report: N

COMPRESSOR MINI

MDR report key: 17057997 · Received June 5, 2023

Report

Report Number
8010042-2023-01060
Event Type
Malfunction
Date Received
June 5, 2023
Report Date
June 5, 2023
Manufacturer
MAQUET CRITICAL CARE AB
Product Code
BTI
UDI-DI
07325710001523
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

THE CLAIMED ISSUE WAS RELATED TO LOW PRESSURE ALARM. THERE WAS NO PATIENT HARM. IDENTIFICATION OF ISSUE HAS BEEN DONE BY ANALYZING PROBLEM DESCRIPTION. THE ISSUE WAS REPORTABLE DUE TO THE FACT THAT IT MAY LEAD TO STOP OF VENTILATION. THE ISSUE WAS RESOLVED BY THE CUSTOMER BY REPLACING COMPRESSOR TUBING KIT. THE DEVICE WAS RETURNED TO USAGE IN WORKING CONDITION. THE ROOT CAUSE OF THE ISSUE HAS NOT BEEN DETERMINED. THE CORRECTION OF FIELD #H8 USAGE OF DEVICE WAS REQUIRED. THIS IS BASED ON THE INTERNAL EVALUATION. #H8 USAGE OF DEVICE: PREVIOUS USAGE OF DEVICE: UNKNOWN. CORRECTED USAGE OF DEVICE: REUSE.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE COMPRESSOR ALARMED FOR LOW PRESSURE. THERE WAS NO PATIENT HARM. MANUFACTURER'S REF. #: 832273

Description of Event or Problem · 0

MANUFACTURER'S REF #: (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1410514 COMPRESSOR MINI COMPRESSOR, AIR, PORTABLE BTI MAQUET CRITICAL CARE AB COMPR MINI 230V 50HZ 07325710001523

Patients

Seq Age Sex Outcome Treatment
1 Unknown