FDA Adverse Event Other Summary report: N

NEBULIZERS TO DELIVER AEROSOLS

MDR report key: 2013069 · Received March 1, 2011

Report

Report Number
1525712-2011-00071
Event Type
Other
Date Received
March 1, 2011
Date of Event
February 4, 2011
Report Date
March 1, 2011
Manufacturer
MEDEL S.P.A.
Product Code
CAF
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4) - DEALER ALLEGES THE PRODUCT WAS OVER HEATING WHEN TURNED ON, AND THE DEALER REPLACED THE UNIT FOR THE CONSUMER. PRODUCT WAS RETURNED FOR REGULATORY AFFAIRS INSPECTION. VISUAL INSPECTION: THE AEROSOL COMPRESSOR HAD METAL FRAGMENTS UNDER THE COMPRESSOR. THE FUNCTIONAL TESTING SHOWED NO DISCREPANCIES. DEVICE ALLEGEDLY OVERHEATED WHEN TURNED ON. UNIT IS OVER TWO YEARS OLD AND HISTORY HAS ALSO SHOWN THAT EVENTS WITH THIS DEVICE HAVE BEEN A RESULT OF DROPPING DEVICE, MECHANICAL WEAR AND OR BLOCKING VENTS DURING USE. DEVICE IS THERMALLY PROTECTED. MDR FILED SOLELY ON COMPLAINT THAT DEVICE OVERHEATED WHEN TURNED ON. MALFUNCTION NOT CONFIRMED. MANUFACTURER IS ATTEMPTING TO OBTAIN PRODUCT FOR INSPECTION.

Additional Manufacturer Narrative · 1

DEVICE ALLEGEDLY OVERHEATED WHEN TURNED ON. UNIT IS OVER TWO YEARS OLD AND HISTORY HAS ALSO SHOWN THAT EVENTS WITH THIS DEVICE HAVE BEEN A RESULT OF DROPPING DEVICE, MECHANICAL WEAR AND OR BLOCKING VENTS DURING USE. DEVICE IS THERMALLY PROTECTED. MDR FILES SOLELY ON COMPLAINT THAT DEVICE OVERHEATED WHEN TURNED ON. MALFUNCTION NOT CONFIRMED. MANUFACTURER IS ATTEMPTING TO OBTAIN PRODUCT FOR INSPECTION.

Description of Event or Problem · 1

THE UNIT ALLEGEDLY OVERHEATED WHEN IT WAS TURNED ON. NO INJURY IS ALLEGED.

Description of Event or Problem · 1

THE UNIT ALLEGEDLY OVERHEATED WHEN IT WAS TURNED ON. NO INJURY IS ALLEGED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NEBULIZERS TO DELIVER AEROSOLS 868.5630 CAF MEDEL S.P.A. IRC1710

Patients

Seq Age Sex Outcome Treatment
1