FDA Adverse Event Summary report: N

PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES

MDR report key: 3024180 · Received March 27, 2013

Report

Report Number
1531186-2013-01300
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
MO, 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 LOW OUTPUT. MDR FILED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
126221 PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES 868.6250 BTI EMG TECHNOLOGY CO. LTD IRC170

Patients

Seq Age Sex Outcome Treatment
1 Other