BEUDAMED
    FDA Adverse Event Summary report: N

    PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES

    MDR report key: 4044260 · Received August 28, 2014

    Report

    Report Number
    1531186-2014-03636
    Date Received
    August 28, 2014
    Report Date
    August 4, 2014
    Manufacturer
    MAXTEC INC.
    Product Code
    BTI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MS, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER ALLEGED ANALYZER HAS AN E01 ERROR CODE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    524951 PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES 868.6250 BTI MAXTEC INC. IRC450

    Patients

    Seq Age Sex Outcome Treatment
    1 Other