FDA Adverse Event
Malfunction
Summary report: N
LUNGFIT PH
MDR report key: 21850900
·
Received April 16, 2025
Report
- Report Number
- MW5169142
- Event Type
- Malfunction
- Date Received
- April 16, 2025
- Date of Event
- March 30, 2025
- Report Date
- April 10, 2025
- Manufacturer
- BEYOND AIR INC.
- Product Code
- QTB
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- FL, US
- Reporter Occupation
- RISK MANAGER
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
BEYOND AIR MACHINE WAS ALARMING "MAIN DELIVERY FAILURE." MACHINE SWITCHED INTO BACKUP MODE AND SWAPPED OUT WITH ALTERNATE MACHINE. VITAL SIGNS WERE STABLE BEFORE, DURING, AND AFTER TRANSFER TO NEW MACHINE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 134370 | LUNGFIT PH | NITRIC OXIDE GENERATOR AND DELIVERY SYSTEM | QTB | BEYOND AIR INC. | 90002 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 1 MO | Female |