FDA Adverse Event Malfunction Summary report: N

RELIAMED JOJO THE JELLYFISH PEDIATRICCOMPRESS

MDR report key: 20585206 · Received November 1, 2024

Report

Report Number
3003188183-2024-90006
Event Type
Malfunction
Date Received
November 1, 2024
Manufacturer
VEGA TECHNOLOGIES INC.
Product Code
BTI
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 0

VEGA FOUND THE MDR REPORT ON THE FDA WEBSITE: 1 MDR NO.:1423537-2016-00002. MDR REPORT CONTENTS: THE CUSTOMER CALLED IN FOR HER SON THAT USES THE PEDIATRIC NEBULIZER. WHEN USING THE UNIT AT SCHOOL SPARKS BEGAN TO FLY AND CAUSED THE ELECTRICITYAT THE SCHOOL TO GO OUT. NO ONE WAS INJURED. CUSTOMER HAS HAD THE UNIT ABOUT 1.5 TO 2 YEARS. MANUFACTURER NARRATIVE: (B)(4). THE DEVICE HISTORY RECORD FOR THE SERIAL NUMBER REPORTED WAS REVIEWED AND DID NOT INDICATE ANY EXCEPTION THAT COULD LEAD TO THE REPORTED INCIDENT. MULTIPLE ATTEMPTS TO RETRIEVE THE SAMPLE TO AID IN DETERMINING A ROOT CAUSE WERE UNSUCCESSFUL. AS A SAMPLE WAS NOT AVAILABLE FOR INVESTIGATION, THE EXACT CAUSE OF THE FAILURE COULD NOT BE CONFIRMED. A REVIEW OF THE HISTORICAL TRENDING FOR THE PAST 12 MONTHS INDICATED THAT THIS IS THE FIRST REPORT RECEIVED OF THIS ISSUE. WE WILL CONTINUE TO MONITOR FOR ANY SIMILAR REPORTS. NG Q'TY: (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1930018 RELIAMED JOJO THE JELLYFISH PEDIATRICCOMPRESS NEBULIZER BTI VEGA TECHNOLOGIES INC. CN-02WN

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown