FDA Adverse Event Summary report: N

PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES

MDR report key: 3191585 · Received June 26, 2013

Report

Report Number
1531186-2013-02800
Date Received
June 26, 2013
Report Date
May 31, 2013
Manufacturer
MEDEL S.P.A.
Product Code
BTI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

THE PROVIDER STATED THE PUMP ISN'T WORKING

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
291592 PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES 868.6250 BTI MEDEL S.P.A. IRC1710

Patients

Seq Age Sex Outcome Treatment
1 Other