FDA Adverse Event Malfunction Summary report: N

SOCLEAN2

MDR report key: 19428296 · Received May 29, 2024

Report

Report Number
MW5155569
Event Type
Malfunction
Date Received
May 29, 2024
Date of Event
February 28, 2024
Report Date
May 23, 2024
Manufacturer
SOCLEAN, INC.
Product Code
LRJ
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
MI, US
Reporter Occupation
UNKNOWN
Health Professional
*

Narratives

Description of Event or Problem · 0

CLEANER NO LONGER WOULD WORK AND DID NOT HAVE THE AVAILABILITY TO CONTACT YOU UNTIL NOW. LIGHT SHOWING MACHINE NOT WORKING PROPERLY. REPLACED FILTER, HOWEVER, STILL DID NOT WORK. PURCHASED AT A LOCAL DURABLE MEDICAL EQUIPMENT/PHARMACY SITE IN (B)(6).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
328743 SOCLEAN2 DISINFECTANT, MEDICAL DEVICES LRJ SOCLEAN, INC.

Patients

Seq Age Sex Outcome Treatment
1 60 YR Female CONTINUOUS POSITIVE AIRWAY PRESSURE MACHINE. | KLONOPIN.| LYRICA.| PERIODICALLY: MELATONIN GUMMIES.| PERIODICALLY: TYLENOL WITH SLEEP AID.| PROPRANOLOL.| PROTONIX.| REQUIP.| WELLBUTRIN.| ZOLOFT.