NEBULIZERS TO DELIVER AEROSOLS IRC1740

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 08 report with the FDA on 2011-05-27 for NEBULIZERS TO DELIVER AEROSOLS IRC1740 manufactured by Emg.

Event Text Entries

[22091590] The dealer was demonstrating the unit to a customer and the unit allegedly smelled like burnt plastic. No injury is alleged.
Patient Sequence No: 1, Text Type: D, B5


[22258249] The dealer alleges the unit smelled like burnt plastic. No injury is alleged. The nebulizer is 2 years old and history has also shown that events with this device has been a result of dropping device, mechanical wear and or blocking vents during use. Device is thermally protected. Mdr filed solely on complaint that the dealer smelled burnt plastic when they turned on the nebulizer. Malfunction not confirmed. Invacare is attempting to obtain product for eval.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1525712-2011-00211
MDR Report Key2114277
Report Source08
Date Received2011-05-27
Date of Report2011-05-27
Date Mfgr Received2011-04-28
Date Added to Maude2011-07-07
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactBOB ROGERS
Manufacturer StreetONE INVACARE WAY
Manufacturer CityELYRIA OH 44036
Manufacturer CountryUS
Manufacturer Postal44036
Manufacturer Phone8003336900
Manufacturer G1EMG
Manufacturer CityZHONGSHAN 44036
Manufacturer CountryCH
Manufacturer Postal Code44036
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameNEBULIZERS TO DELIVER AEROSOLS
Generic Name868.5630
Product CodeJPW
Date Received2011-05-27
Model NumberIRC1740
Device AvailabilityN
Device Age2 YR
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerEMG
Manufacturer AddressZHONGSHAN CH


Patients

Patient NumberTreatmentOutcomeDate
10 2011-05-27

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