FDA Adverse Event Malfunction Summary report: N

PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL)

MDR report key: 2960030 · Received February 13, 2013

Report

Report Number
1031452-2013-00286
Event Type
Malfunction
Date Received
February 13, 2013
Report Date
February 13, 2013
Manufacturer
INVACARE FLORIDA OPERATIONS
Product Code
CAW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

PER DEALER (B)(4) LIGHTS ARE NOT WORKING ON IT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
62397 PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL) 868.5440 CAW INVACARE FLORIDA OPERATIONS XPO100

Patients

Seq Age Sex Outcome Treatment
1 Other