BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL)

    MDR report key: 3203270 · Received July 2, 2013

    Report

    Report Number
    1031452-2013-01270
    Event Type
    Malfunction
    Date Received
    July 2, 2013
    Report Date
    June 10, 2013
    Manufacturer
    INVACARE FLORIDA OPERATIONS
    Product Code
    CAW
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    CONSUMER ALLEGES THIS UNIT WOULD START UP AND THEN JUST SHUT DOWN ONCE THE SETTING LIGHTS REACHED 5. CONSUMER ADVISED THAT SINCE SHE REPORTED THIS TO US HER MACHINE IS CURRENTLY RUNNING OKAY BUT THIS WAS HAPPENING THIS PAST SATURDAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    302374 PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL) 868.5440 CAW INVACARE FLORIDA OPERATIONS XPO100

    Patients

    Seq Age Sex Outcome Treatment
    1 Other