FDA Adverse Event Malfunction Summary report: N

PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL)

MDR report key: 4133301 · Received October 1, 2014

Report

Report Number
3008262382-2014-01401
Event Type
Malfunction
Date Received
October 1, 2014
Date of Event
May 17, 2014
Report Date
September 11, 2014
Manufacturer
INVACARE REHABILITATION EQUIP
Product Code
CAW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
KS, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

CONSUMER COMPLAINING ABOUT HEARING A SINGLE BEEP EVERY HOUR DURING THE NIGHT. DEALER UNABLE TO DUPLICATE THE PROBLEM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
611761 PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL) 868.5440 CAW INVACARE REHABILITATION EQUIP IRC5P

Patients

Seq Age Sex Outcome Treatment
1 Other