FDA Adverse Event Malfunction Summary report: N

PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES

MDR report key: 2864042 · Received December 10, 2012

Report

Report Number
3004493922-2012-00654
Event Type
Malfunction
Date Received
December 10, 2012
Report Date
December 7, 2012
Manufacturer
INVACARE SUZHOU
Product Code
BTI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

PROVIDER STATES UNIT DOES NOT TURN ON. NO INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES 868.6250 BTI INVACARE SUZHOU IRC1705

Patients

Seq Age Sex Outcome Treatment
1 Other