BEUDAMED
    FDA Adverse Event Death Summary report: N

    MOBILAIRE

    MDR report key: 273157 · Received April 5, 2000

    Report

    Report Number
    1525712-2000-00022
    Event Type
    Death
    Date Received
    April 5, 2000
    Date of Event
    March 1, 2000
    Report Date
    April 4, 2000
    Manufacturer
    INVACARE CORP.
    Product Code
    CAN
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    MFR RECEIVED A REPORT FROM A DEALER ALLEGING THAT THE USER WAS BY THE STOVE IN THE KITCHEN AND ALLEGEDLY CAUGHT THEIR CLOTHES ON FIRE. THE FIRE WAS CONTAINED IN THE KITCHEN AND THE CONCENTRATOR WAS LOCATED IN THE LIVING ROOM. NO MALFUNCTION HAS BEEN REPORTED.

    Description of Event or Problem · 1

    MFR REC'D A REPORT FROM A DEALER ALLEGING THAT THE USER WAS BY THE STOVE IN THE KITCHEN AND ALLEGEDY CAUGHT THE CLOTHES ON FIRE. THE FIRE WAS CONTAINED IN THE KITCHEN AND THE CONCENTRATOR WAS LOCATED IN THE LIVING ROOM. NO MALFUNCTION HAS BEEN REPORTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MOBILAIRE PORTABLE OXYGEN GENERATOR CAN INVACARE CORP. 5 LITER OXYGEN CONCENTRATO NA

    Patients

    Seq Age Sex Outcome Treatment
    1 85 YR Death