FDA Adverse Event Malfunction Summary report: N

ALLIED HEALTHCARE PRODUCTS INC.

MDR report key: 18024143 · Received October 27, 2023

Report

Report Number
1924066-2021-00001
Event Type
Malfunction
Date Received
October 27, 2023
Date of Event
September 22, 2021
Report Date
July 29, 2024
Manufacturer
ALLIED HEALTHCARE PRODUCTS INC
Product Code
BTL
PMA / PMN Number
K090356
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
ID
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

**UDI RELATED DATA QAULITY UPDATES ONLY** SEVERAL UPDATES HAVE BEEN MADE TO THIS REPORT. THE FULL UDI HAS BEEN ENTERED, ALONG WITH THE 5 10(K). THE INFORMATION ENTERED IN THIS REPORT AND THAT OF THE GUDID THAT DID NOT MATCH ARE THE BRAND NAME AND THE MANUFACTURER NAME. THE REASONING BEHIND THIS DIFFERENCE IS THAT WE WERE CONSIDERED ALLIED HEALTHCARE PRODUCTS INC. WHEN THE SUSPECT MEDICAL DEVICES WERE MANUFACTURED AS WELL AS WHEN THE MALFUNCTION OCCURRED. THE MEDWATCH WAS SUBMITTED AFTER WE BECAME ALLIED MEDICAL LLC. THE REASON BEHIND THIS IS ALLIED HEALTHCARE PRODUCTS INC. DECLARED BANKRUPTCY AND ITS ASSETS WERE SOLD ON JULY 13, 2023, WHICH WAS WHEN ALLIED MEDICAL LLC WAS CREATED. PLEASE LET ME KNOW IF YOU HAVE ANY QUESTIONS.

Description of Event or Problem · 0

PRESSURE SENSOR VALVE POPPED APART UNDER PRESSURE MAKING A LOUD NOISE CAUSING A LEAKAGE AND LOW SOURCE GAS ALARM

Description of Event or Problem · 0

PRESSURE SENSOR VALVE POPPED APART UNDER PRESSURE MAKING A LOUD NOISE CAUSING A LEAKAGE AND LOW SOURCEGAS ALARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1789690 ALLIED HEALTHCARE PRODUCTS INC. EPV200 BTL ALLIED HEALTHCARE PRODUCTS INC EPV200 NO

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown