BEUDAMED
    FDA Adverse Event Summary report: N

    PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL)

    MDR report key: 3965244 · Received July 29, 2014

    Report

    Report Number
    1525712-2014-04110
    Date Received
    July 29, 2014
    Date of Event
    January 1, 2014
    Report Date
    June 20, 2014
    Manufacturer
    UNKNOWN
    Product Code
    CAW
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TX, US
    Reporter Occupation
    PATIENT FAMILY MEMBER OR FRIEND

    Narratives

    Description of Event or Problem · 1

    ENDUSER WIFE ADVISED GETTING MOISTURE IN THE TUBING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    441934 PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL) 868.5440 CAW UNKNOWN UNKNOWN

    Patients

    Seq Age Sex Outcome Treatment
    1 Other