FDA Adverse Event Injury Summary report: N

AERONOX 2.0 NITRIC OXIDE TITRATION & MONITORING

MDR report key: 10835603 · Received November 13, 2020

Report

Report Number
MW5097818
Event Type
Injury
Date Received
November 13, 2020
Date of Event
June 17, 2020
Report Date
November 9, 2020
Manufacturer
INTERNATIONAL BIOMEDICAL LTD.
Product Code
MRN
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
TX, US
Reporter Occupation
RISK MANAGER

Narratives

Description of Event or Problem · 1

ODOR IN PLANE COMING FROM A DIFFERENT AERONOX DEVICE, FOUR PERSONNEL BECAME ILL (HEADACHE, RESPIRATORY IRRITATION, LOSS OF CONSCIOUSNESS, REQUIRED TREATMENT. ONE PERSONNEL REQUIRED HOSPITALIZATION WITH CONTINUED RESPIRATORY ISSUES. NO PATIENT INVOLVED. DETAIL: THE AERONOX WAS PLUGGED IN TO KEEP BATTERY CHARGED BUT WAS NOT IN USE AT TIME OF EVENT. ALL UNITS WERE REMOVED FROM SERVICE. EVENT REPORTED TO MANUFACTURER. MANUFACTURER SENT EMAIL THEY WERE FILING WITH FDA BUT I CAN NOT FIND A REPORT IN THE FDA SYSTEM. UNITS WERE SENT TO ECRI FOR TESTING. ENGINEER CONDUCTED TESTING AND WAS UNABLE TO REPLICATE THE ODORS IN THE LAB SETTING. A REPORT WAS PROVIDED BY ECRI OF THE LAB TESTING AND RESULTS. ON-SITE TESTING CONNECTED TO THE ISOLETTE IS NOT POSSIBLE AT THIS IS TIME DUE TO COVID 19. FDA SAFETY REPORT ID# (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1301829 AERONOX 2.0 NITRIC OXIDE TITRATION & MONITORING APPARATUS, NITRIC OXIDE DELIVERY MRN INTERNATIONAL BIOMEDICAL LTD. AERONOX 2.0

Patients

Seq Age Sex Outcome Treatment
1 38 YR Hospitalization| L