FDA Adverse Event
Malfunction
Summary report: N
AHP 300
MDR report key: 19213344
·
Received April 30, 2024
Report
- Report Number
- 1924066-2024-00002
- Event Type
- Malfunction
- Date Received
- April 30, 2024
- Date of Event
- December 21, 2023
- Report Date
- April 29, 2024
- Manufacturer
- ALLIED MEDICAL LLC
- Product Code
- BTL
- UDI-DI
- 00026072000014
- PMA / PMN Number
- K132021
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- MO, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
THIS DEVICE IS STILL UNDER INVESTIGATION.
Description of Event or Problem · 0
TIDAL VOLUMES DOES NOT MATCH SETTINGS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1992776 | AHP 300 | AHP 300 | BTL | ALLIED MEDICAL LLC | AHP300 | 00026072000014 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |