FDA Adverse Event Malfunction Summary report: N

ENVOY AER COMPRESSOR 230V AUS 9153632953

MDR report key: 4339513 · Received December 18, 2014

Report

Report Number
1531186-2014-06426
Event Type
Malfunction
Date Received
December 18, 2014
Report Date
November 25, 2014
Manufacturer
PHILIPS/RESPIRONICS NEW JERSEY INC.
Product Code
BTI
Product Problem
Yes
Report Source
Distributor report
Reporter Location
LA, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

THE DEALER IS REPORTING THE DEVICE HAS LOW PRESSURE OUTPUT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
830801 ENVOY AER COMPRESSOR 230V AUS 9153632953 COMPRESSOR, AIR, PORTABLE BTI PHILIPS/RESPIRONICS NEW JERSEY INC. IRC1710

Patients

Seq Age Sex Outcome Treatment
1 Other