This mdr was generated under protocol (b)(4) as a result of warning letter cms# (b)(4).Manufacturing device history record review was not performed because the results of the complaint investigation do not indicate a problem with the manufacture of the device.No causes or potential causes of the customer's reported problem were found during the review of service and repair records.Visual inspection observed that the device was received in fair condition with a torn serial number label.During functional testing, the reported problem was duplicated.The root cause of the reported issue was found to be the reservoir tank leaked and the pump is noisy due to normal wear.Due to the age and multiple components needing to be replaced/upgraded, the device was deemed beyond economical repair.A corrective and preventative action has been opened to address upgrades.(udi) is unknown.No product information has been provided to date.
|