TRUAIRE-5 OXYGEN CONCENTRATOR
Report
- Report Number
- 3014810929-2025-00021
- Event Type
- Death
- Date Received
- November 18, 2025
- Date of Event
- January 24, 2025
- Report Date
- November 17, 2025
- Manufacturer
- JIANGSU JUMAO X-CARE MEDICAL EQUIPMENT CO., LTD.
- Product Code
- CAW
- PMA / PMN Number
- K090007
- Removal / Correction Number
- Z-0795-2025
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- OH, US
- Reporter Occupation
- 501
Narratives
INVESTIGATION INTO INCIDENT CONTINUES. MANUFACTURER AND DISTRIBUTOR ARE WORKING DILIGENTLY TO DETERMINE IF AND WHOSE DEVICE WAS PRESENT.
INVESTIGATION INTO INCIDENT CONTINUES. MANUFACTURER AND DISTRIBUTOR ARE WORKING DILIGENTLY TO DETERMINE IF AND WHOSE DEVICE WAS PRESENT.
ON (B)(6) 2025, OUR CLIENT PASSED AWAY WHILE USING AN OXYGEN TANK THAT WAS MANUFACTURED AND/OR DISTRIBUTED BY YOU, WHEN THE TANK MALFUNCTIONED. THE OXYGEN TANK WAS SUPPLIED BY (B)(6) AND WAS MANUFACTURED BY COMPASS HEALTH BRANDS. AS A RESULT OF THIS DEFECT AND MALFUNCTION, OUR CLIENT PASSED AWAY FROM A RESIDENTIAL FIRE DUE TO THE RECALL OF THE OXYGEN MACHINE PROVIDED WHICH RESULTED IN HER UNTIMELY DEATH, REQUIRING MEDICAL TREATMENT AND CAUSING SIGNIFICANT PAIN, SUFFERING, AND DAMAGES.
ON (B)(6) 2025, OUR CLIENT PASSED AWAY WHILE USING AN OXYGEN TANK THAT WAS MANUFACTURED AND/OR DISTRIBUTED BY YOU, WHEN THE TANK MALFUNCTIONED. THE OXYGEN TANK WAS SUPPLIED BY (B)(4) AND WAS MANUFACTURED BY COMPASS HEALTH BRANDS. AS A RESULT OF THIS DEFECT AND MALFUNCTION, OUR CLIENT PASSED AWAY FROM A RESIDENTIAL FIRE DUE TO THE RECALL OF THE OXYGEN MACHINE PROVIDED WHICH RESULTED IN HER UNTIMELY DEATH, REQUIRING MEDICAL TREATMENT AND CAUSING SIGNIFICANT PAIN, SUFFERING, AND DAMAGES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2236166 | TRUAIRE-5 OXYGEN CONCENTRATOR | GENERATOR, OXYGEN, PORTABLE | CAW | JIANGSU JUMAO X-CARE MEDICAL EQUIPMENT CO., LTD. | 1-O2C5L |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 72 YR | Female | Death |