FDA Adverse Event Malfunction Summary report: N

PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL)

MDR report key: 3821769 · Received May 20, 2014

Report

Report Number
1031452-2014-01515
Event Type
Malfunction
Date Received
May 20, 2014
Report Date
April 8, 2014
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

IRC5PO2V CONCENTRATOR POWER SWITCH HAS A SHORT CIRCUIT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
298305 PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL) 868.5440 CAW INVACARE FLORIDA OPERATIONS IRC5PO2V

Patients

Seq Age Sex Outcome Treatment
1 Other