FDA Adverse Event Malfunction Summary report: N

PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES

MDR report key: 3951968 · Received July 23, 2014

Report

Report Number
3008262382-2014-00368
Event Type
Malfunction
Date Received
July 23, 2014
Date of Event
June 18, 2014
Report Date
June 18, 2014
Manufacturer
INVACARE REHABILITATION EQUIP
Product Code
BTI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

PER PROVIDER, DEALER STATES UNIT IS NOT MISTING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
431891 PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES 868.6250 BTI INVACARE REHABILITATION EQUIP IRC1705

Patients

Seq Age Sex Outcome Treatment
1 Other