BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MOBILAIRE

    MDR report key: 217203 · Received April 1, 1999

    Report

    Report Number
    1525712-1999-00022
    Event Type
    Injury
    Date Received
    April 1, 1999
    Date of Event
    March 1, 1999
    Report Date
    March 26, 1999
    Manufacturer
    INVACARE CORPORATION
    Product Code
    CAW
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    MANUFACTURER RECEIVED A REPORT STATING NO OXYGEN WAS BEING EMITTED FROM AN OXYGEN CONCENTRACTOR BECAUSE A HOSE HAD BECOME DISCONNECTED. THE PATIENT REQIURED CPR AND WAS HOSPITALIZED. EVALUATION BY THE MANUFACTURER HAS NOT BEEN PERMITTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MOBILAIRE PORTABLE OXYGEN GENERATOR CAW INVACARE CORPORATION 5 LITER CONCENTRATOR W/SENS NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Hospitalization