NEBULIZER COMPRESSOR MACHINE C N -02 M N ZRCNO1

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-01-15 for NEBULIZER COMPRESSOR MACHINE C N -02 M N ZRCNO1 manufactured by Unk.

Event Text Entries

[133531372] Got first nebulizer machine on (b)(6) 2018 called (b)(6) pharmacy on (b)(6) 2018, was told by them to return it. The nebulizer was returned because it had strong chemical smell coming from the machine (without the hose hooked to it). Could taste the chemical in my mouth. I used the 2nd machine only 2 days because it too had a strong chemical taste and smell coming from it also. Was told by (b)(6) pharmacy before i return the 2nd machine, i had to call cardinal health and get the ok from them. Cardinal health said it was ok to return the 2nd machine to (b)(6) pharmacy so i did on (b)(6) 2018. I got a replacement nebulizer machine for a different mfr(philips) and there was no chemical smell or taste from it. Cardinal health.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5083186
MDR Report Key8254019
Date Received2019-01-15
Date of Report2019-01-12
Date of Event2018-09-10
Date Added to Maude2019-01-16
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
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 NameNEBULIZER COMPRESSOR MACHINE
Generic NameNEBULIZER (DIRECT PATIENT INTERFACE)
Product CodeCAF
Date Received2019-01-15
Model NumberC N -02 M N
Catalog NumberZRCNO1
OperatorLAY USER/PATIENT
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK

Device Sequence Number: 2

Brand NameNEBULIZER COMPRESSOR MACHINE
Generic NameNEBULIZER (DIRECT PATIENT INTERFACE)
Product CodeCAF
Date Received2019-01-15
Device Availability*
Device Eval'ed by MfgrI
Device Sequence No2
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK


Patients

Patient NumberTreatmentOutcomeDate
101. Life Threatening 2019-01-15

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