FDA Adverse Event Death Summary report: N

OXYGEN REGULATOR

MDR report key: 11555074 · Received March 23, 2021

Report

Report Number
3006446479-2021-00002
Event Type
Death
Date Received
March 23, 2021
Date of Event
January 18, 2021
Report Date
March 22, 2021
Manufacturer
SUNSET HEALTHCARE SOLUTIONS
Product Code
CAN
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

A REPORT FROM STAFF FOR A CUSTOMER ON OXYGEN THERAPY AT HOME SAW ON A NEWS REPORT THAT A FIRE OCCURRED RESULTING IN DEATH. THE LAST EQUIPMENT KNOWN IN USE INCLUDED AN OXYGEN REGULATOR ITEM NUMBER RES043. NEWS REPORT INDICATES THE FIRE WAS CAUSED BY SMOKING IN THE HOME. NO FURTHER INFORMATION IS AVAILABLE.

Description of Event or Problem · 1

A REPORT FROM STAFF FOR A CUSTOMER ON OXYGEN THERAPY AT HOME SAW ON A NEWS REPORT THAT A FIRE OCCURRED RESULTING IN DEATH. THE LAST EQUIPMENT KNOWN IN USE INCLUDED AN OXYGEN REGULATOR ITEM NUMBER RES043. NEWS REPORT INDICATES THE FIRE WAS CAUSED BY SMOKING IN THE HOME. NO FURTHER INFORMATION IS AVAILABLE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
445672 OXYGEN REGULATOR OXYGEN REGULATOR CAN SUNSET HEALTHCARE SOLUTIONS

Patients

Seq Age Sex Outcome Treatment
1 Death