FDA Adverse Event Summary report: N

PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES

MDR report key: 3419669 · Received October 18, 2013

Report

Report Number
1531186-2013-04913
Date Received
October 18, 2013
Report Date
October 9, 2013
Manufacturer
EMG TECHNOLOGY CO. LTD
Product Code
BTI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
LA, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT THE AIR TUBE ADAPTOR OF AN AEROSOL COMPRESSOR WAS BROKEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
534873 PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES 868.6250 BTI EMG TECHNOLOGY CO. LTD IRC1740

Patients

Seq Age Sex Outcome Treatment
1 Other