FDA Adverse Event Summary report: N

PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES

MDR report key: 3746968 · Received April 11, 2014

Report

Report Number
1531186-2014-01328
Date Received
April 11, 2014
Report Date
March 13, 2014
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

DEALER STATES THE CONNECTOR THAT THE TUBING CONNECTS TO ON AN IRC1740 TEDDY BEAR PEDIATRIC AEROSOL COMPRESSOR IS BROKEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
220714 PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES 868.6250 BTI EMG TECHNOLOGY CO. LTD IRC1740

Patients

Seq Age Sex Outcome Treatment
1 Other