FDA Adverse Event Malfunction Summary report: N

PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL)

MDR report key: 3832556 · Received May 27, 2014

Report

Report Number
1031452-2014-01746
Event Type
Malfunction
Date Received
May 27, 2014
Date of Event
February 11, 2014
Report Date
February 12, 2014
Manufacturer
INVACARE FLORIDA OPERATIONS
Product Code
CAW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

DEALER STATED THAT THE WIRES FOR THE BATTERY HARNESS ON A XPO100B PORTABLE CONCENTRATOR ARE EXPOSED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
311178 PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL) 868.5440 CAW INVACARE FLORIDA OPERATIONS XPO100B

Patients

Seq Age Sex Outcome Treatment
1 Other