BEUDAMED
    FDA Adverse Event Summary report: N

    PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES

    MDR report key: 4110239 · Received September 23, 2014

    Report

    Report Number
    1531186-2014-04355
    Date Received
    September 23, 2014
    Report Date
    September 4, 2014
    Manufacturer
    RESPIRONICS INC
    Product Code
    BTI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PROVIDER STATES THE UNIT WILL NOT START.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    589677 PORTABLE AIR COMPRESSOR FOR MEDICAL PURPOSES 868.6250 BTI RESPIRONICS INC IRC1710

    Patients

    Seq Age Sex Outcome Treatment
    1 Other