FDA Adverse Event Malfunction Summary report: N

PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL)

MDR report key: 3243487 · Received July 23, 2013

Report

Report Number
1031452-2013-01442
Event Type
Malfunction
Date Received
July 23, 2013
Report Date
July 2, 2013
Manufacturer
INVACARE FLORIDA OPERATIONS
Product Code
CAW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THE ALARM ON THE IRC5LXO2 CONCENTRATOR IS NO LONGER PRODUCING ANY SOUNDS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
343192 PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL) 868.5440 CAW INVACARE FLORIDA OPERATIONS IRC5LXO2

Patients

Seq Age Sex Outcome Treatment
1 Other