FDA Adverse Event
Malfunction
Summary report: N
MINI-HEART®
MDR report key: 19905355
·
Received August 5, 2024
Report
- Report Number
- 19905355
- Event Type
- Malfunction
- Date Received
- August 5, 2024
- Date of Event
- May 28, 2024
- Report Date
- June 3, 2024
- Manufacturer
- WESTMED, INC.
- Product Code
- CAF
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- UT
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
HEALTHCARE PROVIDER FOUND THAT MINIHEART HI-FLO COMPRESSOR NEBULIZER SYSTEMS LOT 447757 ARE NOT NEBULIZING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1844762 | MINI-HEART® | NEBULIZER (DIRECT PATIENT INTERFACE) | CAF | WESTMED, INC. | 100612 | 447757 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |