BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PROAIR HFA

    MDR report key: 2740462 · Received September 5, 2012

    Report

    Report Number
    MW5026826
    Event Type
    Malfunction
    Date Received
    September 5, 2012
    Date of Event
    September 3, 2012
    Report Date
    September 3, 2012
    Manufacturer
    IVA/TEVA
    Product Code
    CCQ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    PHARMACIST

    Narratives

    Description of Event or Problem · 1

    PT STATES CANNISTER NOT WORKING WITH THE SLEEVE. PUFF GOES UP IN THE AIR AND NOT OUT. WILL WORK WHEN CANNISTER IS PUT IN ANOTHER SLEEVE. THINKS MULTIPLE SLEEVES ARE DEFECTIVE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PROAIR HFA CANNISTER CCQ IVA/TEVA

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR