FDA Adverse Event Malfunction Summary report: N

COMPRESSOR MINI

MDR report key: 8527009 · Received April 18, 2019

Report

Report Number
8010042-2019-00273
Event Type
Malfunction
Date Received
April 18, 2019
Report Date
September 23, 2019
Manufacturer
MAQUET CRITICAL CARE AB
Product Code
BTI
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SC
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 0

THE INVESTIGATION OF THE RETURNED COMPRESSOR PCB (PRINTED CIRCUIT BOARD) AND DRAINAGE VALVE DID NOT GENERATE ANY ERRORS. THE DEVICE LOGS FROM THE CONNECTED VENTILATOR UNIT WERE NOT RETURNED, THE REPORTED STANDBY ISSUE CANNOT BE VERIFIED BY THE LOGS. THE SIMULATED TESTS PERFORMED IN A TEST COMPRESSOR WITH THE RETURNED PARTS INSTALLED, DID NOT SHOW ANY DEVIATIONS, THE PARTS WERE WORKING ACCORDING TO SPECIFICATIONS. INVESTIGATION FINDINGS DO NOT LEAD TO A CLEAR CONCLUSION ABOUT THE CAUSE OF THE REPORTED EVENT.

Additional Manufacturer Narrative · 0

GETINGE USA SALES, LLC (IMPORTER) IS SUBMITTING THIS REPORT ON BEHALF OF MAQUET CRITICAL CARE AB (MANUFACTURER). REF. EXEMPTION #: E2018003. GETINGE USA SALES, LLC, 45 BARBOUR POND DRIVE, WAYNE, NJ 07470. CONTACT PERON: (B)(4).

Description of Event or Problem · 0

IMPORTER REF. #:(B)(4). MANUFACTURER REF. #: 1915MCC1597.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE COMPRESSOR DID NOT TURN ON DURING PATIENT TREATMENT. THERE WAS NO PATIENT HARM. (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
319245 COMPRESSOR MINI COMPRESSOR, AIR, PORTABLE BTI MAQUET CRITICAL CARE AB

Patients

Seq Age Sex Outcome Treatment
1