FDA Adverse Event Malfunction Summary report: N

PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES

MDR report key: 3974818 · Received August 4, 2014

Report

Report Number
3008262382-2014-00450
Event Type
Malfunction
Date Received
August 4, 2014
Report Date
June 26, 2014
Manufacturer
INVACARE REHABILITATION EQUIP
Product Code
BTI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

CLAIMANT ALLEGED THAT LAST NIGHT THE UNIT STOPPED MISTING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
453353 PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES 868.6250 BTI INVACARE REHABILITATION EQUIP IRC1705

Patients

Seq Age Sex Outcome Treatment
1 4 Other