FDA Adverse Event
Malfunction
Summary report: N
O2 FLOWMETER
MDR report key: 11093
·
Received January 28, 1994
Report
- Report Number
- MW1000512
- Event Type
- Malfunction
- Date Received
- January 28, 1994
- Manufacturer
- TIMETER INSTRUMENT CORP.
- Product Code
- CAX
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- TX, US
- Reporter Occupation
- RESPIRATORY THERAPIST
Narratives
Description of Event or Problem · 1
A OXYGEN FLOWMETER WAS BEING USED ON A BLENDER. THE FLOWMETER BLEW APART (THORPE TUBE SEPARATED FROM THE REST OF THE FLOWMETER). IT WAS BEING USED AS INTENDED, CONNECTED TO A 50 PSI GAS SOURCE. IT WAS BEING USED IN A PT'S ROOM BUT NOBODY WAS INJURED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | O2 FLOWMETER | CAX | TIMETER INSTRUMENT CORP. | M0-15 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 6 MO | Other |