FDA Adverse Event
Malfunction
Summary report: N
AHP300
MDR report key: 19651253
·
Received July 1, 2024
Report
- Report Number
- 1924066-2024-00014
- Event Type
- Malfunction
- Date Received
- July 1, 2024
- Date of Event
- December 21, 2022
- Report Date
- June 26, 2024
- Manufacturer
- ALLIED HEALTHCARE PRODUCT INC.
- Product Code
- BTL
- PMA / PMN Number
- K132021
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TN, US
- Reporter Occupation
- 501
Narratives
Additional Manufacturer Narrative · 0
THE UNIT WAS RETURNED FOR REPAIR AND WAS RECALIBRATED AND TESTED. IT MET ALL SPECIFICATIONS AFTER THE CALIBRATION WAS COMPLETED.
Description of Event or Problem · 0
LOW TIDAL VOLUME AND SYSTEM FAILURE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 565665 | AHP300 | AHP300 | BTL | ALLIED HEALTHCARE PRODUCT INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |