FDA Adverse Event Malfunction Summary report: N

PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL)

MDR report key: 4111370 · Received September 23, 2014

Report

Report Number
1031452-2014-10619
Event Type
Malfunction
Date Received
September 23, 2014
Report Date
September 3, 2014
Manufacturer
INVACARE FLORIDA OPERATIONS
Product Code
CAW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
VA, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

PER INDEPENDENT REPAIR CENTER STATEMENT, UNIT WOULD NOT START. THE KEY FAILURE WAS THAT THE POWER SWITCH HAD A SHORT CIRCUIT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
589913 PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL) 868.5440 CAW INVACARE FLORIDA OPERATIONS IRC5PO2

Patients

Seq Age Sex Outcome Treatment
1 Other