BEUDAMED
    FDA Adverse Event Summary report: N

    PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES

    MDR report key: 3233094 · Received July 18, 2013

    Report

    Report Number
    1219590-2013-00063
    Date Received
    July 18, 2013
    Report Date
    June 26, 2013
    Manufacturer
    INVACARE CLEVELAND STREET
    Product Code
    BTI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NY, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CUSTOMER STATES UNIT NOT NEBULIZING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    334914 PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES 868.6250 BTI INVACARE CLEVELAND STREET IRC1195

    Patients

    Seq Age Sex Outcome Treatment
    1 Other