FDA Adverse Event Summary report: N

PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES

MDR report key: 2841042 · Received November 20, 2012

Report

Report Number
1531186-2012-01412
Date Received
November 20, 2012
Report Date
November 17, 2012
Manufacturer
MEDEL S.P.A.
Product Code
BTI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

(B)(4). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. DEALER CALLED STATING THAT THE COMPRESSOR IS MAKING NOISE. ALSO, IT RUNS BUT NO AIR IS COMING OUT. MDR FILED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES 868.6250 BTI MEDEL S.P.A. IRC1710

Patients

Seq Age Sex Outcome Treatment
1 Other