BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL)

    MDR report key: 4081644 · Received September 11, 2014

    Report

    Report Number
    1031452-2014-09078
    Event Type
    Malfunction
    Date Received
    September 11, 2014
    Report Date
    August 20, 2014
    Manufacturer
    INVACARE FLORIDA OPERATIONS
    Product Code
    CAW
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MI, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    PER INDEPENDENT REPAIR CENTER STATEMENT, THE ALARM WILL NOT FUNCTION. THE KEY FAILURE IS THE POWER SWITCH ON THE CONTROL PANEL CAUSING AN ISSUE WITH THE ALARMS. ADDITIONAL MALFUNCTION IS THE REGULATOR ON THE PRODUCT TANK LEAKING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    561973 PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL) 868.5440 CAW INVACARE FLORIDA OPERATIONS IRC5PO2

    Patients

    Seq Age Sex Outcome Treatment
    1 Other