FDA Adverse Event Malfunction Summary report: N

COMPRESSOR MINI

MDR report key: 2223544 · Received July 29, 2011

Report

Report Number
8010042-2011-00128
Event Type
Malfunction
Date Received
July 29, 2011
Date of Event
June 5, 2011
Report Date
June 8, 2011
Manufacturer
MAQUET CRITICAL CARE AB
Product Code
BTI
PMA / PMN Number
K023354
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT THE POWER CORD ON COMPRESSOR SHOCKED A RESPIRATORY NURSE ON THE KNEE. IT WAS NOTICED THAT THE POWER CORD HAD FOUR BURN MARKS ON IT. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 COMPRESSOR MINI BTI MAQUET CRITICAL CARE AB

Patients

Seq Age Sex Outcome Treatment
1