| Brand Name | DRIVE |
| Common Device Name | COMPRESSOR NEBULIZER |
| Manufacturer (Section D) |
| GLOBALCARE MEDICAL TECHNOLOGY CO., LTD |
| 7th building, 39 middle |
| industrial main road, xiao lan |
| zhongshan, guangdong 52841 5 |
| CH 528415 |
|
| Manufacturer Contact |
|
cherry
feng
|
| 7th building, 39 middle industrial main road, |
| european industrial zone, xiaolan town, |
| zhongshan, guangdong 52841-5
|
|
CH
528415
|
|
| MDR Report Key | 25024118 |
| Report Number | 3010880718-2026-00001 |
| Device Sequence Number | 10261001 |
| Product Code |
CAF
|
| UDI-Device Identifier | 00822383579160 |
| UDI-Public | 00822383579160 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | K980074 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | Unknown |
| Reporter Type |
Manufacturer
|
| Report Source |
Distributor |
| Initial Reporter Occupation |
Other
|
| Type of Report
| Initial |
| Report Date (Section B) |
04/08/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Device Model Number | MQ5900 |
| Device Catalogue Number | MQ5900 |
| Device Lot Number | 13M370132 |
| Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
| Date Returned to Manufacturer | 04/23/2026 |
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 04/08/2026 |
| Initial Report FDA Received Date | 04/28/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 12/09/2022 |
| Is the Device Labeled for Single Use? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Reuse
|
| Patient Sequence Number | 1 |
| Patient Age | 70 YR |
| Patient Sex | Female |
| Patient Weight | 50 KG |
| Patient Race | White |
|
|