FDA Adverse Event Malfunction Summary report: N

PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES

MDR report key: 3061089 · Received April 16, 2013

Report

Report Number
3004493922-2013-00824
Event Type
Malfunction
Date Received
April 16, 2013
Report Date
March 19, 2013
Manufacturer
INVACARE SUZHOU
Product Code
BTI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NJ, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

(B)(4) - THE DEALER REPORTED THAT THE IRC1705 AEROSOL COMPRESSOR WAS INOPERABLE. THERE WAS NO INJURY REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
163744 PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES 868.6250 BTI INVACARE SUZHOU IRC1705

Patients

Seq Age Sex Outcome Treatment
1 Other