FDA Adverse Event Malfunction Summary report: N

SOCLEAN 2 CPAP CLEANER

MDR report key: 9971720 · Received April 16, 2020

Report

Report Number
MW5094171
Event Type
Malfunction
Date Received
April 16, 2020
Date of Event
February 15, 2020
Report Date
April 14, 2020
Manufacturer
SOCLEAN INC
Product Code
LRJ
UDI-DI
00187293000860
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
NE, US
Reporter Occupation
PATIENT

Narratives

Description of Event or Problem · 1

I WAS USING SOCLEAN 2 FOR MY CPAP AND STARTED TO NOTICE CHARCOAL LIKE RESIDUE IN MY WATER CHAMBER. I ASKED MY CPAP SUPPLIER ABOUT IT AND THEY ASKED IF I USED ANY CLEANING DEVICE AND TOLD THEM I WAS USING SOCLEAN 2. THEY INSTRUCTED ME TO STOP. I HAVE A RESMED MACHINE AND THEY TOLD ME THAT RESMED WILL NOT HONOR WARRANTY ON ANY EQUIPMENT THAT WAS PURCHASED AS OF 2-20 AND CLEANED WITH SOCLEAN. I HAVE HAD MY MACHINE FOR A COUPLE OF YEARS SO WILL BE COVERED IF NEED BE BUT THEY ADVISED ME TO STOP USING THE SOCLEAN 2 WHICH I DID IMMEDIATELY. FDA SAFETY REPORT ID #: (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
434136 SOCLEAN 2 CPAP CLEANER DISINFECTANT, MEDICAL DEVICES LRJ SOCLEAN INC 00187293000860

Patients

Seq Age Sex Outcome Treatment
1 64 YR