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 |