BEUDAMED
    FDA Adverse Event Injury Summary report: N

    OXYGEN HUMIDIFIER

    MDR report key: 15537 · Received August 25, 1994

    Report

    Report Number
    MW1003190
    Event Type
    Injury
    Date Received
    August 25, 1994
    Date of Event
    August 22, 1994
    Report Date
    August 23, 1994
    Manufacturer
    PROFESSIONAL MEDICAL PRODUCTS, INC.
    Product Code
    BTT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NM, US
    Reporter Occupation
    RESPIRATORY THERAPIST

    Narratives

    Description of Event or Problem · 1

    GAS FROM THE HUMIDIFIER ESCAPES FROM THE "POP OFF VALVE" RATHER THAN THROUGH THE GAS OUTLET PORT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OXYGEN HUMIDIFIER OXYGEN HUMIDIFIER BTT PROFESSIONAL MEDICAL PRODUCTS, INC. 5225 33047506

    Patients

    Seq Age Sex Outcome Treatment
    1 * Life Threatening