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