| Brand Name | SUNSET PORTABLE MESH NEBULIZER WITH RECHARGEABLE BATTERY |
| Common Device Name | PORTABLE MESH NEBULIZER |
| Manufacturer (Section D) |
| FEELIFE HEATH INC. |
| rm1903, 2002, bldg a, no.9 |
| furong rd. tantou community |
| songgang st., bao'an district, shenzhen 51810 4 |
| CH 518104 |
|
| Manufacturer (Section G) |
| FEELIFE HEALTH INC. |
| rm1903, 2002, bldg a, no.9 |
| furong rd. tantou community |
| songgang st., bao'an district, shenzhen 51810 4 |
|
CH
518104
|
|
| Manufacturer Contact |
|
yedda
zeng
|
| rm1903, 2002, bldg a, no.9 |
| furong rd. tantou community |
| songgang st., bao'an district, shenzhen 51810-4
|
|
CH
518104
|
|
| MDR Report Key | 20008738 |
| Report Number | 3006446479-2024-00003 |
| Device Sequence Number | 7201581 |
| Product Code |
CAF
|
| UDI-Device Identifier | 00848530098537 |
| UDI-Public | (01)00848530098537 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
08/20/2024 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
No
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Lay User/Patient
|
| Device Model Number | NEB402 |
| Was Device Available for Evaluation? |
Yes
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 06/23/2023 |
| Initial Report FDA Received Date | 08/20/2024 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Is the Device Labeled for Single Use? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Reuse
|
| Patient Sequence Number | 1 |
| Patient Sex | Prefer Not To Disclose |
|
|