SOCLEAN2 CARTRIDGE FILTER KIT PN1207

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-08-29 for SOCLEAN2 CARTRIDGE FILTER KIT PN1207 manufactured by Soclean, Inc..

Event Text Entries

[119023975] Replacement check-valve for soclean 2 (model sc1200 cpap sanitizer) defective. A few days after replacing filter and check valve, i noticed leakage all over my night stand. In fact, cpap cord got so wet that it stopped working. Check-valve literally fell apart when i removed it. Looking at the check valve, it is obvious that there was an incomplete seal holding the valve together (both ends). After i got my cpap cried out, i replaced the check valve again with another brand new one. (both kits were purchased at the same time). The second one also leaked. I called soclean, where i was told they could not send me replacement valves, but would sell me new kits at a discount. I refused. Soclean rep acknowledged this is a known issue, where they suspect parts provided by soclean through (b)(6) may have come from an unauthorized source. I have photos if you would like, or can send both valves. I still have the packaging materials for the second kit, though i do not see a lot number anywhere. It is id'd as "mfg. Pn1207. "
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5079485
MDR Report Key7832239
Date Received2018-08-29
Date of Report2018-08-27
Date of Event2018-08-20
Date Added to Maude2018-08-30
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Sequence Number: 1

Brand NameSOCLEAN2 CARTRIDGE FILTER KIT
Generic NameDISINFECTANT MEDICAL DEVICE
Product CodeLRJ
Date Received2018-08-29
Model NumberPN1207
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerSOCLEAN, INC.

Device Sequence Number: 2

Brand NameSOCLEAN2 CARTRIDGE FILTER KIT
Generic NameDISINFECTANT MEDICAL DEVICE
Product CodeLRJ
Date Received2018-08-29
Model Number1200
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No2
Device Event Key0
ManufacturerSOCLEAN, INC.


Patients

Patient NumberTreatmentOutcomeDate
10 2018-08-29

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