BEUDAMED
    FDA Adverse Event Other Summary report: N

    CAIRE

    MDR report key: 150090 · Received February 17, 1998

    Report

    Report Number
    2938572-1998-00001
    Event Type
    Other
    Date Received
    February 17, 1998
    Date of Event
    January 19, 1998
    Report Date
    January 30, 1998
    Manufacturer
    CAIRE INC
    Product Code
    CAW
    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 PORTABLE LIQUID UNIT BEGAN SHOOTING LIQUID OXYGEN THROUGH THE TOP OF THE UNIT AND THROUGH THE NASAL CANNULA DURING NORMAL USE AND IN THE UPRIGHT POSITION.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CAIRE LIQUID OXYGEN PORTABLE CAW CAIRE INC 1 & 2 *

    Patients

    Seq Age Sex Outcome Treatment
    1 56 YR Other