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 |