FDA Adverse Event Malfunction Summary report: N

PERFECTO2 OXYGEN CONCENTRATOR WITH SENSO2 9153646963

MDR report key: 4537965 · Received February 24, 2015

Report

Report Number
1031452-2015-08846
Event Type
Malfunction
Date Received
February 24, 2015
Report Date
February 17, 2015
Manufacturer
INVACARE FLORIDA OPERATIONS
Product Code
CAW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Description of Event or Problem · 1

THE DEALER ALLEGES THE GFI POPS AND THE IRC5PO2 CONCENTRATOR ALARMS. THE DEALER STATED THE UNIT HAS 12992 HOURS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
130719 PERFECTO2 OXYGEN CONCENTRATOR WITH SENSO2 9153646963 GENERATOR, OXYGEN, PORTABLE CAW INVACARE FLORIDA OPERATIONS IRC5PO2

Patients

Seq Age Sex Outcome Treatment
1 Other