FDA Adverse Event Malfunction Summary report: N

PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL)

MDR report key: 3800167 · Received May 8, 2014

Report

Report Number
1031452-2014-01259
Event Type
Malfunction
Date Received
May 8, 2014
Report Date
April 3, 2014
Manufacturer
INVACARE FLORIDA OPERATIONS
Product Code
CAW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

STATED THAT THE ON/ OFF SWITCH FOR AN (B)(4) CONCENTRATOR HAS A SHORT CIRCUIT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
279048 PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL) 868.5440 CAW INVACARE FLORIDA OPERATIONS IRC5PO2

Patients

Seq Age Sex Outcome Treatment
1 Other