BEUDAMED
    FDA Adverse Event Summary report: N

    PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL)

    MDR report key: 3643438 · Received February 24, 2014

    Report

    Report Number
    1531186-2014-00587
    Date Received
    February 24, 2014
    Report Date
    February 3, 2014
    Manufacturer
    PHILIPS/RESPIRONICS NEW JERSEY INC.
    Product Code
    BTI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    CUSTOMER SAYS THERE IS NO AIR COMING OUT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    113574 PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL) 868.5440 BTI PHILIPS/RESPIRONICS NEW JERSEY INC. IRC1710

    Patients

    Seq Age Sex Outcome Treatment
    1 Other