BEUDAMED
    FDA Adverse Event Death Summary report: N

    OXYGEN CYLINDER W/POST VALVE

    MDR report key: 14352 · Received May 2, 1994

    Report

    Report Number
    2024040-1994-00003
    Event Type
    Death
    Date Received
    May 2, 1994
    Date of Event
    April 19, 1994
    Report Date
    April 27, 1994
    Manufacturer
    CONTEMPORARY PRODUCTS, INC.
    Product Code
    CAN
    Adverse Event
    Yes
    Report Source
    Distributor report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT USING A PORTABLE OXYGEN SYSTEM COMPRISED OF ELECTRONIC CONSERVER, REGULATOR AND OXYGEN CYLINDER WAS IN CAR PREPARING FOR A SHORT TRIP WITH HIS SISTER. WHEN PT TURNED ON OXYGEN CYLINDER HIS SISTER HER A "POP". THE PT SAID , "THIS HURTS". SISTER REPORTED A CHLORINE-LIKE ORDER. PT DISCONNECTED PORTABLE OXYGEN SYSTEM AND WENT INTO THE HOUSE. WHEN HIS SISTER WENT INTO THE HOUSE, SHE FOUND THE PT DEAD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OXYGEN CYLINDER W/POST VALVE SUPPLEMENTAL OXYGEN CYLINDER CAN CONTEMPORARY PRODUCTS, INC. M-6 CYLINDER

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR Death