BEUDAMED
    FDA Adverse Event Summary report: N

    PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES

    MDR report key: 3024156 · Received March 27, 2013

    Report

    Report Number
    1531186-2013-01301
    Date Received
    March 27, 2013
    Report Date
    March 5, 2013
    Manufacturer
    EMG TECHNOLOGY CO. LTD
    Product Code
    BTI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    (B)(4). NO SERIOUS INJURY ALLEGED. MALFUNCTION ALLEGED. PROVIDER STATES COMPRESSOR IS LOCKED UP. MDR FILED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    126214 PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES 868.6250 BTI EMG TECHNOLOGY CO. LTD IRC1135

    Patients

    Seq Age Sex Outcome Treatment
    1 Other