LUX GUARDIAN AIR F159B 0553

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2007-05-16 for LUX GUARDIAN AIR F159B 0553 manufactured by Blueair.

Event Text Entries

[645503] In 2007, customer returned the unit back to the franchise location alleges that he smelt it and saw the smoke, so unplugged it immediately. No property damage or bodily injury was reported by customer. That same day, the customer was given a new guardian air in exchange for the damaged unit. Customer agreed to the exchange and was satisfied. The following week, aerus' quality engineer received the damaged unit and performed a forensic analysis to determine the cause of failure. The engineer's conclusion reveals the fire occurred as the result of an internal failure of the pcb mounted power transformer. Why the transformer failed is yet to be determined. Investigation will continue.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5001858
MDR Report Key850837
Date Received2007-05-10
Date of Report2007-05-10
Date of Event2007-05-01
Date Added to Maude2007-05-17
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameLUX GUARDIAN AIR
Generic NameGUARDIAN AIR
Product CodeFRF
Date Received2007-05-16
Model NumberF159B
Catalog Number0553
OperatorOTHER
Device AvailabilityY
Implant FlagN
Date RemovedB
Device Sequence No1
Device Event Key837892
ManufacturerBLUEAIR
Manufacturer AddressCHICAGO IL 60602 US


Patients

Patient NumberTreatmentOutcomeDate
10 2007-05-10

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