BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PASSPORT NEBULIZER

    MDR report key: 268092 · Received March 8, 2000

    Report

    Report Number
    1525712-2000-00015
    Event Type
    Malfunction
    Date Received
    March 8, 2000
    Date of Event
    March 1, 1999
    Report Date
    March 3, 2000
    Manufacturer
    INVACARE CORP.
    Product Code
    JPW
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    MFR RECEIVED A REPORT FROM A CLAIMS ADJUSTER ALLEGING THE NEBULIZER CAUGHT FIRE CAUSING DAMAGES TO THE CARPETING AND SURROUNDINGS. NO INJURY WAS REPORTED AS A RESULT OF THE INCIDENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PASSPORT NEBULIZER THERAPEUTIC HUMIDIFIER JPW INVACARE CORP. IRC 1190 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN