MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-10-05 for PERCUSSIONAIRE F00001-C S00002-C manufactured by Percussionaire Corporation.
[122799210]
Ipv unit ceased "pulsatile" function. Unit only blows continuous stream of air.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 7937752 |
| MDR Report Key | 7937752 |
| Date Received | 2018-10-05 |
| Date of Report | 2018-09-28 |
| Date of Event | 2018-09-16 |
| Report Date | 2018-09-28 |
| Date Reported to FDA | 2018-09-28 |
| Date Reported to Mfgr | 2018-10-05 |
| Date Added to Maude | 2018-10-05 |
| Event Key | 0 |
| Report Source Code | User Facility report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 0 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | RISK MANAGER |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | PERCUSSIONAIRE |
| Generic Name | DEVICE, POSITIVE PRESSURE BREATHING, INTERMITTENT |
| Product Code | NHJ |
| Date Received | 2018-10-05 |
| Model Number | F00001-C |
| Catalog Number | S00002-C |
| Device Availability | * |
| Device Eval'ed by Mfgr | * |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | PERCUSSIONAIRE CORPORATION |
| Manufacturer Address | 130 MCGHEE RD STE 109 SANDPOINT ID 83864 US 83864 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2018-10-05 |