FDA Adverse Event Death Summary report: N

SALTER LABS HUMIDIFIER

MDR report key: 4192787 · Received October 20, 2014

Report

Report Number
3000219639-2014-00008
Event Type
Death
Date Received
October 20, 2014
Date of Event
July 24, 2013
Report Date
October 20, 2014
Manufacturer
SALTER LABS
Product Code
BTT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

ON (B)(6) 2014, SALTER LABS BECAME AWARE OF A DEATH OF A PATIENT IN THE (B)(6). THE PATIENT WAS REPORTEDLY USING A SALTER LAB HUMIDIFIER CONNECTED TO AN INVACARE OXYGEN CONCENTRATOR. THE HUMIDIFIER WAS REPORTED TO HAVE BEEN BUBBLING, BUT THE CAP WAS IMPROPERLY ENGAGED, AND SCREWED AND TIGHTENED, ONTO THE BOTTLE, WHICH MAY HAVE RESULTED IN A LEAK. SALTER LABS HAS REQUESTED THAT THE HUMIDIFIER BE RETURNED TO SALTER LABS, OR OTHERWISE BE MADE AVAILABLE FOR OUR INSPECTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
667081 SALTER LABS HUMIDIFIER BUBBLE HUMIDIFIER BTT SALTER LABS E7600-0

Patients

Seq Age Sex Outcome Treatment
1 87 YR Death