BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL)

    MDR report key: 4180780 · Received October 17, 2014

    Report

    Report Number
    1031452-2014-14738
    Event Type
    Malfunction
    Date Received
    October 17, 2014
    Report Date
    September 26, 2014
    Manufacturer
    INVACARE FLORIDA OPERATIONS
    Product Code
    CAW
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AL, US
    Reporter Occupation
    MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

    Narratives

    Description of Event or Problem · 1

    ALARMING WITH LOW O2. INDICATION IS THAT SIEVE BED FILTERS (BOTTOM) ARE NOT SEATED PROPERLY ALLOWING SIEVE MATERIAL TO BECOME PULVERIZED AND BYPASS FILTER. SIEVE DUST IS MIGRATING INTO THE MANIFOLD VALVE AND MUFFLER.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    662512 PORTABLE OXYGEN GENERATOR (CONCENTRATOR, HOMEFILL) 868.5440 CAW INVACARE FLORIDA OPERATIONS IRC5PO2V

    Patients

    Seq Age Sex Outcome Treatment
    1 Other