BEUDAMED
    FDA Adverse Event Other Summary report: N

    CAIRE

    MDR report key: 123750 · Received September 29, 1997

    Report

    Report Number
    2938572-1997-00017
    Event Type
    Other
    Date Received
    September 29, 1997
    Date of Event
    September 19, 1997
    Report Date
    September 26, 1997
    Manufacturer
    CAIRE, INC.
    Product Code
    ECX
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Distributor report
    Reporter Location
    FL, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    THE PT WAS USING A LIQUID OXYGEN PORTABLE UNIT. WHEN THE PT TURNED ON THE PORTABLE LIQUID OXYGEN STARTED LEAKING FROM THE FLOW PORT WHERE THE NASAL CANNULA ATTACHES. THE LIQUID OXYGEN WENT INTO THE TUBING THROUGH THE CANNULA AND INTO THE BASE OF HIS NASAL PASSAGES. PT HAD SLIGHT REDNESS UNDER THE NASAL PASSAGES. NO MEDICAL ATTENTION SOUGHT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CAIRE LIQUID OXYGEN PORTABLE ECX CAIRE, INC. 1.2 *

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR Other