FDA Adverse Event
Malfunction
Summary report: N
PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL)
MDR report key: 4100654
·
Received September 19, 2014
Report
- Report Number
- 3008262382-2014-01146
- Event Type
- Malfunction
- Date Received
- September 19, 2014
- Report Date
- August 27, 2014
- Manufacturer
- INVACARE FLORIDA OPERATIONS
- Product Code
- CAW
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
REPAIR CENTER ALLEGED THE UNIT WAS ALARMING/RED LIGHT AND THAT THE CAPACITOR HAS A SHORT CIRCUIT. PER INDEPENDENT REPAIR STATEMENT, THE UNIT WAS ALARMING OR RED LIGHT. KEY FAILURE WAS THE CAPACITOR HAD A SHORT CIRCUIT. ADDITIONAL MALFUNCTIONS WERE THE TIE WRAPS WERE DEFECTIVE AND THE MUFFLER HOUSING/BARB WAS CRACKED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 581712 | PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL) | 868.5440 | CAW | INVACARE FLORIDA OPERATIONS | IRC5P |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |