FDA Adverse Event
Malfunction
Summary report: N
PERFECTO2 OXYGEN CONCENTRATOR WITH SENSO2 9153646963
MDR report key: 4507473
·
Received February 11, 2015
Report
- Report Number
- 1031452-2015-07060
- Event Type
- Malfunction
- Date Received
- February 11, 2015
- Report Date
- February 5, 2015
- Manufacturer
- INVACARE FLORIDA OPERATIONS
- Product Code
- CAW
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE
Narratives
Description of Event or Problem · 1
PER DEALER JUST RECEIVED UNIT BACK FROM REPAIR RA (B)(4). UNIT RAN FOR A 20 SECONDS THEN STOPPED, ALARMED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 101366 | PERFECTO2 OXYGEN CONCENTRATOR WITH SENSO2 9153646963 | GENERATOR, OXYGEN, PORTABLE | CAW | INVACARE FLORIDA OPERATIONS | IRC5PO2V |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |