FDA Adverse Event Death Summary report: N

TRUAIRE-5 OXYGEN CONCENTRATOR

MDR report key: 23578734 · Received November 18, 2025

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

Additional Manufacturer Narrative · 0

INVESTIGATION INTO INCIDENT CONTINUES. MANUFACTURER AND DISTRIBUTOR ARE WORKING DILIGENTLY TO DETERMINE IF AND WHOSE DEVICE WAS PRESENT.

Additional Manufacturer Narrative · 0

INVESTIGATION INTO INCIDENT CONTINUES. MANUFACTURER AND DISTRIBUTOR ARE WORKING DILIGENTLY TO DETERMINE IF AND WHOSE DEVICE WAS PRESENT.

Description of Event or Problem · 0

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.

Description of Event or Problem · 0

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