FDA Adverse Event Malfunction Summary report: N

PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES

MDR report key: 3123089 · Received May 21, 2013

Report

Report Number
3004493922-2013-01100
Event Type
Malfunction
Date Received
May 21, 2013
Report Date
April 26, 2013
Manufacturer
INVACARE SUZHOU
Product Code
BTI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

PROVIDER STATED THE UNIT WON'T POWER ON.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
224858 PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES 868.6250 BTI INVACARE SUZHOU IRC1705

Patients

Seq Age Sex Outcome Treatment
1 Other