FDA Adverse Event
Malfunction
Summary report: N
PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL)
MDR report key: 3160562
·
Received June 10, 2013
Report
- Report Number
- 1031452-2013-01088
- Event Type
- Malfunction
- Date Received
- June 10, 2013
- Report Date
- May 13, 2013
- Manufacturer
- INVACARE FLORIDA OPERATIONS
- Product Code
- CAW
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
CONSUMER ALLEGES THAT WHEN SHE PLUGGED IN HER TPO100B PORTABLE CONCENTRATOR CHARGER INTO HER CAR IT BURNT HER CAR CHARGING PORT. THE CONCENTRATORS CHARGER LOOKED FINE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 259980 | PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL) | 868.5440 | CAW | INVACARE FLORIDA OPERATIONS | TPO100B |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |