BEUDAMED
    FDA Adverse Event Summary report: N

    PORTABLE LIQUID OXYGEN UNIT (CYLINDER ONLY,OXYGEN ITSELF IS A DRUG)

    MDR report key: 3953166 · Received July 23, 2014

    Report

    Report Number
    1531186-2014-02743
    Date Received
    July 23, 2014
    Date of Event
    June 13, 2014
    Report Date
    June 17, 2014
    Manufacturer
    RESPIRONICS INC
    Product Code
    BTI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATED UNIT SHUTS DOWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    431118 PORTABLE LIQUID OXYGEN UNIT (CYLINDER ONLY,OXYGEN ITSELF IS A DRUG) 868.5655 BTI RESPIRONICS INC IRC1730

    Patients

    Seq Age Sex Outcome Treatment
    1 Other