INVACARE OXYGEN CONCENTRATOR IVC IRC5P02V

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-02-25 for INVACARE OXYGEN CONCENTRATOR IVC IRC5P02V manufactured by Invacare Corp..

Event Text Entries

[181527248] Oxygen concentrator made a loud pop then started to smoke. The fire dept was called and the equipment was disconnected and removed from the residence by the firemen. Fda safety report id# (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5093298
MDR Report Key9754091
Date Received2020-02-25
Date of Report2020-02-22
Date of Event2020-02-02
Date Added to Maude2020-02-26
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameINVACARE OXYGEN CONCENTRATOR
Generic NameGENERATOR, OXYGEN, PORTABLE
Product CodeCAW
Date Received2020-02-25
Returned To Mfg2020-02-21
Model NumberIVC IRC5P02V
OperatorLAY USER/PATIENT
Device AvailabilityR
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerINVACARE CORP.
Manufacturer AddressELYRIA OH 44035 US 44035


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2020-02-25

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