BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SOCLEAN 2

    MDR report key: 12756144 · Received November 7, 2021

    Report

    Report Number
    3009534409-2021-00139
    Event Type
    Injury
    Date Received
    November 7, 2021
    Date of Event
    September 3, 2020
    Report Date
    July 14, 2021
    Manufacturer
    SOCLEAN, INC.
    Product Code
    LRJ
    UDI-DI
    00187293000860
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 0

    THE ROOT CAUSE AND INJURY CANNOT BE TRACED TO THE DEVICE AS NO RETURN WAS MADE. NO PERMANENT IMPAIRMENT TO THE BODY FUNCTION OR SYSTEM IS NOTED. SOCLEAN HAS REVIEWED AND MADE IMPROVEMENTS TO OUR COMPLAINT HANDLING PROCEDURE TO ENSURE COMPLIANCE WITH FDA REGULATIONS. THESE IMPROVEMENTS WERE RECOMMENDED AS A RESULT OF AN INTERNAL AUDIT CONDUCTED BY AN EXTERNAL INDEPENDENT REGULATORY CONSULTANT. WE REVISED OUR DECISION TREES AND RE-EVALUATED RETROSPECTIVE COMPLAINTS TO ENSURE REPORTABLE EVENTS WERE CORRECTLY IDENTIFIED. PER FDAS GUIDANCE SOCLEAN IS NOW REPORTING THESE RETROSPECTIVE MDRS. IN ADDITION, SOCLEAN HAS OPENED SEVERAL CAPA'S TO REMEDIATE THE AUDIT FINDINGS.

    Description of Event or Problem · 0

    CUSTOMER REPORTS A COUGH, SNEEZING AND BLOODY NOSE WITH MD INTERVENTION REQUIRING A NASAL SPRAY. CUSTOMER REPORTS GETTING A CHEST X-RAY AND BLOOD TESTS THAT HAD NO FINDINGS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1661427 SOCLEAN 2 SLEEP EQUIPMENT MAINTENANCE SYSTEM LRJ SOCLEAN, INC. SC1200 00187293000860

    Patients

    Seq Age Sex Outcome Treatment
    1 Male Other