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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SECHRIST INDUSTRIES INC. SECHRIST INDUSTRIES INC.; AIR/OXYGEN GAS MIXER

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SECHRIST INDUSTRIES INC. SECHRIST INDUSTRIES INC.; AIR/OXYGEN GAS MIXER Back to Search Results
Model Number 3500CP-G
Medical Device Problem Code No Audible Alarm (1019)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 10/08/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Device was evaluated by sechrist and determined that the reed was defective which led to the alarm not sounding properly.The reed was replaced and the unit was tested and found to be alarming properly now.The ifu states, prior to each clinical use, the user shall perform bypass alarm system test, verify accuracy of o2 and inspect the reverse gas flow.At this time there is no evidence that a manufacturing non-conformity contributed to the reported complaint, and the instructions for use were reviewed and determined to provide adequate instructions and warnings for the safe and effective use of the device.Therefore, no corrective or preventative actions are necessary.All complaints are trended and reviewed by management on a monthly basis.As part of this monthly review, any excursion above the control limits for this failure mode will be assessed, documented and acted upon as warranted.Manufacturer reference no.(b)(4).
 
Event or Problem Description
Customer reported that the mixer won't alarm and has a hissing sound coming from it.No patient involvement or injury reported.
 
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Brand Name
SECHRIST INDUSTRIES INC.
Common Device Name
AIR/OXYGEN GAS MIXER
Manufacturer (Section D)
SECHRIST INDUSTRIES INC.
4225 e. la palma avenue
anaheim CA 92807
Manufacturer Contact
majid mashayekh
4225 e. la palma avenue
anaheim, CA 92807
7145798400
MDR Report Key23638158
Report Number2020676-2025-00028
Device Sequence Number9805528
Product Code DTX
UDI-Device Identifier00899660002345
UDI-Public00899660002345
Combination Product (Y/N)N
Initial Reporter StateCA
Initial Reporter CountryUS
PMA/510(K) Number
K023745
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,User Facility
Initial Reporter Occupation Biomedical Engineer
Type of Report Initial
Report Date (Section B) 11/24/2025
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 Health Professional
Device Model Number3500CP-G
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer10/14/2025
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 11/10/2025
Initial Report FDA Received Date11/24/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured01/09/2025
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 Number1
Patient SexUnknown
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