FDA Adverse Event Injury Summary report: N

PORTABLE 02 CONCENTRATOR TOC INDEPENDENCE GRE

MDR report key: 18970608 · Received March 22, 2024

Report

Report Number
MW5153112
Event Type
Injury
Date Received
March 22, 2024
Date of Event
March 1, 2024
Report Date
March 20, 2024
Manufacturer
O2 CONCEPTS, LLC
Product Code
CAW
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
NY, US
Reporter Occupation
PATIENT
Health Professional
*

Narratives

Description of Event or Problem · 0

APRIA O2 CONC TOC INDEPENDENCE GRE. PORTABLE O2 DELIVERY SYSTEM USED FOR TRAVEL. I WAS ON A FLIGHT FROM (B)(6). THE UNIT FAILED TO OPERATE AS INDICATED AND MY O2 STAT DROPPED INTO THE 70'S CAUSING HEADACHE, SHORTNESS OF BREATH AND DIZZINESS MID AIR. THE FLIGHT ATTENDANTS HAD TO COME TO HELP AND DEPLOY THEIR O2 DEVICE SO THAT I COULD GET ADEQUATE OXYGEN. THIS UNIT DOES NOT WORK AS INTENDED ON BATTERY OR WHEN PLUGGED INTO THE POWER OUTLET. THE COMPANY WAS NOTIFIED UPON MY RETURN AND THEY HAVE NOT RETURNED A PHONE CALL AND ARE UNRESPONSIVE. PRIOR TO THIS INCIDENT THERE WERE MULTIPLE FAILURES AS WELL AND COMPANY WAS NOTIFIED AND THEY REQUESTED FOR ME TO DRIVE AN HOUR AWAY WITH A FAILING PRODUCT TO EXCHANGE IT. THAT WAS NOT FEASIBLE AS I COULDN'T RELY ON THEIR PRODUCT TO KEEP ME ALIVE. VERY STRESSFUL TRIP FILLED WITH ANXIETY. LUCKILY I PACKED MY PORTABLE UNIT THAT ONLY DELIVERS O2 ON PULSE AND USED THAT WHEN THIS PRODUCT FAILED. MY CONCERN IS / WAS THIS PRODUCT TESTED ON AN AIRPLANE ? WAS THIS PRODUCT TESTED IN THE CAR USING THE ADAPTER AND CIGARETTE LIGHTER ? EVEN WITH A FULL BATTERY CHARGE SYSTEM WOULD NOT OPERATE AS DESIGNED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
426943 PORTABLE 02 CONCENTRATOR TOC INDEPENDENCE GRE GENERATOR, OXYGEN, PORTABLE CAW O2 CONCEPTS, LLC 800-0001-1-GE

Patients

Seq Age Sex Outcome Treatment
1 80 YR Male Required Intervention| L