BEUDAMED
    FDA Adverse Event Summary report: N

    PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL)

    MDR report key: 4131221 · Received October 1, 2014

    Report

    Report Number
    1531186-2014-04597
    Date Received
    October 1, 2014
    Report Date
    September 10, 2014
    Manufacturer
    RESPIRONICS INC
    Product Code
    BTI
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    CA, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    DEALER STATED BROKEN COOLING FAN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    613002 PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL) 868.5440 BTI RESPIRONICS INC IRC1710

    Patients

    Seq Age Sex Outcome Treatment
    1 Other