BEUDAMED
    FDA Adverse Event Other Summary report: N

    PURITAN BENNETT

    MDR report key: 100775 · Received May 16, 1997

    Report

    Report Number
    2938572-1997-90008
    Event Type
    Other
    Date Received
    May 16, 1997
    Date of Event
    April 26, 1997
    Report Date
    May 14, 1997
    Manufacturer
    NELLCOR PURTIAN BENNETT
    Product Code
    ECX
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    WHILE ATTEMPTING TO FILL LIQUID OXYGEN PORTABLE, PT RECEIVED BURNS ON HAND ,& THIGH. PT STATES HE COULD NOT CLOSE FILL LEVER ON PORTABLE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PURITAN BENNETT OXYGEN PORTABLE ECX NELLCOR PURTIAN BENNETT MARK 5 R70 *

    Patients

    Seq Age Sex Outcome Treatment
    1 62 YR Other