FDA Adverse Event Summary report: N

NEBULIZERS TO DELIVER AEROSOLS

MDR report key: 2575587 · Received May 16, 2012

Report

Report Number
1531186-2012-00263
Date Received
May 16, 2012
Report Date
May 14, 2012
Manufacturer
EMG TECHNOLOGY CO. LTD
Product Code
CAF
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE CONSUMER STATED THAT THE NEBULIZER GOT VERY HOT AND SMELLED LIKE IT WAS BURNING AND THE MEDICINE WOULD NOT FLOW OUT. THIS DEVICE IS A PEDIATRIC BEAR NEBULIZER FOR A CHILD. THE USES AGE, HEIGHT AND WEIGHT ARE UNKNOWN. PAGE 9 OF THE OWNER'S MANUAL STATES A WARNING, "NEVER BLOCK THE AIR OPENINGS OF THE PRODUCT OR PLACE IT ON A SOFT SURFACE, SUCH AS A BED OR COUCH, WHERE THE AIR OPENINGS THE LIKE. BLOCKED OPENINGS MAY CAUSE THE UNIT TO SHUT DOWN. CONTACT DEALER IMMEDIATELY. THE COMPRESSOR NEBULIZER SYSTEM USES THE SURROUNDING AIR TO EFFECTIVELY ADMINISTER THE PRESCRIBED MEDICATION THROUGH THE NEBULIZER. THE USER AND ADMINISTRATOR SHOULD BE AWARE OF SURROUNDINGS SO AS NOT TO HAVE CONTAMINATED AIR FILTERED THROUGH THE COMPRESSOR NEBULIZER SYSTEM. (EXAMPLES CAN BE AIR CONTAMINATED WITH PAINT OR CLEANING FUMES, WEED KILLER,CAR EXHAUST, ETC.) DO NOT USE THE COMPRESSOR NEBULIZER SYSTEM IN THESE ENVIRONMENTS. OTHERWISE, SERIOUS BODILY INJURY MAY OCCUR". INVACARE PROVIDED THE CONSUMER WITH A LIST OF SERVICE CENTERS IN HER AREA. NO RMA HAS BEEN ISSUED AT THIS TIME FOR THE RETURN OF THE PRODUCT.

Description of Event or Problem · 1

CUSTOMER ALLEGES NEBULIZER GOT VERY HOT, SMELLED LIKE IT WAS BURNING AND MEDICINE WOULD NOT COME OUT. NO INJURY ALLEGED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 NEBULIZERS TO DELIVER AEROSOLS 868.5630 CAF EMG TECHNOLOGY CO. LTD IRC1740

Patients

Seq Age Sex Outcome Treatment
1 Other