FDA Adverse Event
Malfunction
Summary report: N
MODEL 4075 NEBULIZER
MDR report key: 48659
·
Received September 20, 1996
Report
- Report Number
- 1040777-1996-00001
- Event Type
- Malfunction
- Date Received
- September 20, 1996
- Report Date
- September 19, 1996
- Manufacturer
- FLAEM NUOVA SPA
- Product Code
- CAF
- Report Source
- Manufacturer report
- Reporter Occupation
- ATTORNEY
Narratives
Description of Event or Problem · 1
PT EXPERIENCED ASTHMA EVENT. DEVICE WAS REPORTED AS NOT DELIVERING MEDICATION TO PT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | MODEL 4075 NEBULIZER | NEBULIZER | CAF | FLAEM NUOVA SPA | 4075 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNKNOWN |