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 |