FDA Adverse Event Malfunction Summary report: N

MARK 5 NUVO 10

MDR report key: 23199602 · Received October 2, 2025

Report

Report Number
1039215-2025-00003
Event Type
Malfunction
Date Received
October 2, 2025
Date of Event
September 11, 2025
Report Date
October 2, 2025
Manufacturer
NIDEK MEDICAL PRODUCTS INC.
Product Code
CAW
PMA / PMN Number
K093308
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

DEVICE WAS RETURNED TO NIDEK MEDICAL PRODUCTS ON SEPTEMBER 15, 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 ONE OF THE THREE INTERNAL COOLING FANS 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 SEPTEMBER 11, 2025, NIDEK MEDICAL PRODUCTS WAS CONTACTED BY A DISTRIBUTOR IN (B)(6) 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
2451157 MARK 5 NUVO 10 OXYGEN CONCENTRATOR CAW NIDEK MEDICAL PRODUCTS INC. 595 45783

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown