FDA Adverse Event
Injury
Summary report: N
3B MEDICAL STRATUS 5 OXYGEN CONCENTRATOR
MDR report key: 16487379
·
Received March 2, 2023
Report
- Report Number
- MW5115435
- Event Type
- Injury
- Date Received
- March 2, 2023
- Date of Event
- January 6, 2023
- Report Date
- February 28, 2023
- Manufacturer
- 3B MEDICAL, INC.
- Product Code
- CAW
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- NC, US
- Reporter Occupation
- PHYSICIAN
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
HIS OXYGEN CONCENTRATOR WAS REPLACED. WITHIN 30 MIN HAD BURNING IN THE LUNGS AND DEVELOPED A MIGRAINE. WAS HURTING TO BREATH IN BOTH LUNGS. HE NOTICED THAT THERE WAS WHITE POWDER IN THE MACHINE. THE NEXT DAY HE HAD BODY ACHES AND JOINT PAINS. HAD ISSUES WITH JOINT PAIN AND SWELLING WITH REDNESS.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 705918 | 3B MEDICAL STRATUS 5 OXYGEN CONCENTRATOR | GENERATOR, OXYGEN, PORTABLE | CAW | 3B MEDICAL, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 31 YR | Male | Other |