FDA Adverse Event Malfunction Summary report: N

PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL)

MDR report key: 3950750 · Received July 22, 2014

Report

Report Number
1031452-2014-04210
Event Type
Malfunction
Date Received
July 22, 2014
Report Date
June 17, 2014
Manufacturer
INVACARE FLORIDA OPERATIONS
Product Code
CAW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AR, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

PER PROVIDER WEAK/NO ALARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
428441 PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL) 868.5440 CAW INVACARE FLORIDA OPERATIONS IRC5P

Patients

Seq Age Sex Outcome Treatment
1 Other