inforMED
DeathNFB

DEVILBISS

Received Jul 5, 2017

Report 2438477-2017-00056 · MDR key 6687684

Device

Generic name

Oxygen Concentrator

Model number

525DS

Product problems

  • No Flow
  • No Flow

Patient

Not reported

  • Death
  • Death

Narrative

Description of Event or Problem

(B)(4) RECEIVED NOTICE OF AN INCIDENT INVOLVING AN OXYGEN CONCENTRATOR THAT (B)(4) IMPORTS AND DISTRIBUTES. THE PATIENT WAS STAYING IN A HOSPICE AND USING THE OXYGEN CONCENTRATOR WHEN ALLEGEDLY THE UNIT FAILED OVERNIGHT AND THE PATIENT DIED. THE UNIT WAS EVALUATED BY (B)(4) AND IT WAS CONFIRMED THAT A FILTER WAS NOT INSTALLED CORRECTLY LEADING TO A MALFUNCTION AND FAILURE OF THE UNIT. THIS ADVERSE EVENT IS CURRENTLY UNDER LEGAL CONTROL.