BEUDAMED
    FDA Adverse Event Summary report: N

    PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL)

    MDR report key: 3977082 · Received August 4, 2014

    Report

    Report Number
    1531186-2014-02967
    Date Received
    August 4, 2014
    Report Date
    July 1, 2014
    Manufacturer
    MAXTEC INC.
    Product Code
    CAW
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER CUSTOMER STATES, THE UNIT WILL NOT START.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    454726 PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL) 868.5440 CAW MAXTEC INC. IRC450

    Patients

    Seq Age Sex Outcome Treatment
    1 Other