FDA Adverse Event
Malfunction
Summary report: N
PULMONARY FUNCTION LABORATORY
MDR report key: 47223
·
Received September 5, 1996
Report
- Report Number
- 2050001-1996-90001
- Event Type
- Malfunction
- Date Received
- September 5, 1996
- Date of Event
- August 28, 1996
- Report Date
- September 4, 1996
- Manufacturer
- SENSORS MEDICS CORP
- Product Code
- BZC
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA, US
- Reporter Occupation
- RESPIRATORY THERAPIST
Narratives
Description of Event or Problem · 1
VACUUM PUMP PRESSURE RELIEF BOX WAS RATTLING. WHEN TOUCH BY AN OPERATOR, A SPARK WAS EMITTED AND THE CIRCUIT BREAKER TRIPPED. THERE WERE NO INJURIES AND NO PTS WERE REPORTED TO BE INVOLVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | PULMONARY FUNCTION LABORATORY | PULMONARY TESTING SYSTEM | BZC | SENSORS MEDICS CORP | 2200 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA |