FDA Adverse Event Malfunction Summary report: N

MARK 5 NUVO LITE

MDR report key: 22742804 · Received August 7, 2025

Report

Report Number
1039215-2025-00002
Event Type
Malfunction
Date Received
August 7, 2025
Date of Event
July 18, 2025
Report Date
August 7, 2025
Manufacturer
NIDEK MEDICAL PRODUCTS INC.
Product Code
CAW
PMA / PMN Number
K123738
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
SN
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

DEVICE WAS RETURNED TO NIDEK MEDICAL PRODUCTS ON JULY 28, 2025. DURING THE FUNCTIONAL CHECK OF THE DEVICE, THE UNIT MAINTAINED FUNCTIONALITY AND PURITY UNTIL THE COMPRESSOR OVERHEATED, TRIGGERING A SAFETY SHUTDOWN OF THE COMPRESSOR AND CAUSING THE UNIT TO ALARM BOTH VISUALLY AND AUDIBLY. THE DEVICE WAS ASSESSED AND IT WAS FOUND THAT THE INTERNAL COOLING FAN WAS NOT OPERATING. WITHIN THE TIME IT TOOK THE COMPRESSOR TO SHUTDOWN AND THE UNIT TO BEGIN ALARMING, NO SMOKE WAS OBSERVED AND THERE WAS NO EVIDENCE ANY THERMAL OR SMOKE DAMAGE TO THE UNIT.

Description of Event or Problem · 0

ON JULY 18, 2025, NIDEK MEDICAL PRODUCTS WAS CONTACTED BY A DISTRIBUTOR IN SINGAPORE THAT A DEVICE EXPERIENCED OVERHEATING AND HAD SMOKE COMING FROM THE MACHINE. ACCORDING TO THE INITIAL REPORTER, THERE WERE NO INJURIES OR HEALTH EFFECTS TO THE PATIENT, NOR WAS THERE HARM TO THE PROPERTY OR ENVIRONMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
410833 MARK 5 NUVO LITE OXYGEN CONCENTRATOR CAW NIDEK MEDICAL PRODUCTS INC. 920 45545

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown