FDA Adverse Event Malfunction Summary report: N

PERFECTO2 OXYGEN CONCENTRATOR WITH SENSO2 9153646963

MDR report key: 4953396 · Received July 30, 2015

Report

Report Number
1031452-2015-15146
Event Type
Malfunction
Date Received
July 30, 2015
Report Date
July 8, 2015
Manufacturer
INVACARE FLORIDA OPERATIONS
Product Code
CAW
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SC, US
Reporter Occupation
MEDICAL EQUIPMENT COMPANY TECHNICIAN/REPRESENTATIVE

Narratives

Additional Manufacturer Narrative · 1

NO END USER INFORMATION PROVIDED. THE PRODUCT WAS EVALUATED AND REPAIRED BY AN INDEPENDENT REPAIR CENTER. A FOLLOW UP WILL BE SENT IF ADDITIONAL INFORMATION IS RECEIVED.

Description of Event or Problem · 1

PER THE INDEPENDENT REPAIR CENTER, THE CUSTOMER ALLEGED PROBLEM IS THE ALARM WILL NOT FUNCTION. THE KEY FAILURE IS THE POWER SWITCH HAS NO AUDIBLE ALARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
497749 PERFECTO2 OXYGEN CONCENTRATOR WITH SENSO2 9153646963 GENERATOR, OXYGEN, PORTABLE CAW INVACARE FLORIDA OPERATIONS IRC5PO2

Patients

Seq Age Sex Outcome Treatment
1 Other