FDA Adverse Event Other Summary report: N

NEBULIZERS TO DELIVER AEROSOLS

MDR report key: 2114277 · Received May 27, 2011

Report

Report Number
1525712-2011-00211
Event Type
Other
Date Received
May 27, 2011
Report Date
May 27, 2011
Manufacturer
EMG
Product Code
JPW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
WA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE DEALER ALLEGES THE UNIT SMELLED LIKE BURNT PLASTIC. NO INJURY IS ALLEGED. THE NEBULIZER IS 2 YEARS OLD AND HISTORY HAS ALSO SHOWN THAT EVENTS WITH THIS DEVICE HAS BEEN A RESULT OF DROPPING DEVICE, MECHANICAL WEAR AND OR BLOCKING VENTS DURING USE. DEVICE IS THERMALLY PROTECTED. MDR FILED SOLELY ON COMPLAINT THAT THE DEALER SMELLED BURNT PLASTIC WHEN THEY TURNED ON THE NEBULIZER. MALFUNCTION NOT CONFIRMED. INVACARE IS ATTEMPTING TO OBTAIN PRODUCT FOR EVAL.

Description of Event or Problem · 1

THE DEALER WAS DEMONSTRATING THE UNIT TO A CUSTOMER AND THE UNIT ALLEGEDLY SMELLED LIKE BURNT PLASTIC. NO INJURY IS ALLEGED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NEBULIZERS TO DELIVER AEROSOLS 868.5630 JPW EMG IRC1740

Patients

Seq Age Sex Outcome Treatment
1