BEUDAMED
    FDA Adverse Event Injury Summary report: N

    THERMO VALVE MEDICAL POST VALVE

    MDR report key: 13517 · Received March 31, 1994

    Report

    Report Number
    2027789-1994-00001
    Event Type
    Injury
    Date Received
    March 31, 1994
    Date of Event
    January 4, 1994
    Report Date
    March 16, 1994
    Manufacturer
    THERMO VALVES CORPORATION
    Product Code
    ECX
    Report Source
    Distributor report
    Reporter Location
    WY, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    WHEN PATIENT TURNED OXYGEN OFF, "A BLAST OF VILE SMELLING OXYGEN" FROM THE CYLINDER AND WENT INTO A FULL FLEDGED ASTHMA ATTACK."CPI WAS ADVISED BY CHAD THERAPEUTICS, INC. THAT PATIENT WAS HOSPITALIZED, "STABILIZED AND SUBSEQUENTLY RELEASED WITHIN A MATTER OF HOURS."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 THERMO VALVE MEDICAL POST VALVE VALVE INSTALLED ON OXYGEN CYLINDER ECX THERMO VALVES CORPORATION 1-92

    Patients

    Seq Age Sex Outcome Treatment
    1 * Hospitalization VIDED BY CHAD, AND OXYGEN CYLINDER PROVIDED BY CPI| OXYMATIC OXYGEN CONSERVER AND REGULATOR, BOTH PRO-