FDA Adverse Event Malfunction Summary report: N

COMPRESSOR MINI

MDR report key: 3014230 · Received March 12, 2013

Report

Report Number
8010042-2013-00033
Event Type
Malfunction
Date Received
March 12, 2013
Date of Event
February 25, 2013
Report Date
February 26, 2013
Manufacturer
MAQUET CRITICAL CARE AB
Product Code
BTI
PMA / PMN Number
K023354
Removal / Correction Number
NA
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

DEVICE EVALUATION ANTICIPATED, BUT NOT YET BEGUN. THE MAINS INLET AND THE FUSES WERE REPLACED. THE REPLACED PARTS HAVE BEEN REQUESTED FOR INVESTIGATION BUT NOT YET RECEIVED. A SUPPLEMENTAL MEDWATCH REPORT WILL BE SENT WHEN INVESTIGATION IS COMPLETED. (B)(4).

Description of Event or Problem · 1

IT WAS REPORTED THAT THE COMPRESSOR COULD NOT POWER UP. THERE WAS NO IMPACT ON PATIENT. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
104235 COMPRESSOR MINI BTI MAQUET CRITICAL CARE AB NA NA

Patients

Seq Age Sex Outcome Treatment
1 NA