BEUDAMED
    FDA Adverse Event Death Summary report: N

    AIR SEP (NEW LIFE)

    MDR report key: 142336 · Received January 9, 1998

    Report

    Report Number
    MW4002098
    Event Type
    Death
    Date Received
    January 9, 1998
    Date of Event
    December 28, 1997
    Report Date
    December 31, 1997
    Manufacturer
    AIR SEP CORP.
    Product Code
    CAW
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    OXYGEN CONCENTRATOR USED ON NURSING HOME PT WHO DIED. CONCENTRATOR NOT DELIVERING OXYGEN FLOW AND WAS INFESTED WITH COCKROACHES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AIR SEP (NEW LIFE) OXYGEN CONCENTRATOR CAW AIR SEP CORP. "NEW LIFE" NA

    Patients

    Seq Age Sex Outcome Treatment
    1 83 YR Death