BEUDAMED
    FDA Adverse Event Other Summary report: N

    INVACARE MOBILAIRE 5

    MDR report key: 209172 · Received February 8, 1999

    Report

    Report Number
    MW1015644
    Event Type
    Other
    Date Received
    February 8, 1999
    Date of Event
    January 26, 1999
    Report Date
    February 4, 1999
    Manufacturer
    INVACARE CORP.
    Product Code
    CAW
    Report Source
    Voluntary report
    Reporter Location
    IN, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT'S FAMILY COMPLAINED OF CONCENTRATOR NOT WORKING WELL AND USING BACK-UP TANK. SERVICED 1/27/99, ONE DAY POST COMPLAINT AT PT'S FAMILY'S REQUEST. FILTERS CLEANED AND PUT BACK INTO SERVICE. FILTERS CLEANED 12/16/98 PREVIOUSLY. PT'S FAMILY CALLED 1/29/99 TO STATE OXYGEN CONCENTRATOR WENT BACK TO 1.5LPM 1/28/99 BUT THEY DID NOT REPORT. PT EXPIRED 1/28/99. EQUIPMENT TESTED 2/1/99 WITHOUT DIFFICULTY BY DISTRIBUTOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INVACARE MOBILAIRE 5 OXYGEN CONCENTRATOR CAW INVACARE CORP. IRC-501 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Other OXYGEN AT 3LPM