FDA Adverse Event Malfunction Summary report: N

PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES

MDR report key: 3000718 · Received March 12, 2013

Report

Report Number
1531186-2013-01043
Event Type
Malfunction
Date Received
March 12, 2013
Report Date
February 14, 2013
Manufacturer
MEDEL S.P.A.
Product Code
BTI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

(B)(4) IT WAS REPORTED BY THE CONSUMER'S MOTHER ALLEGED THAT THE (B)(4) AEROSOL COMPRESSOR WAS INOPERABLE, AND WOULD NOT LOG ON. THERE WAS NO PATIENT INJURY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
103008 PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES 868.6250 BTI MEDEL S.P.A. IRC1710

Patients

Seq Age Sex Outcome Treatment
1 9 Other