BEUDAMED
    FDA Adverse Event Death Summary report: N

    CHEMTRON

    MDR report key: 15936 · Received July 21, 1994

    Report

    Report Number
    15936
    Event Type
    Death
    Date Received
    July 21, 1994
    Date of Event
    April 28, 1994
    Report Date
    May 27, 1994
    Manufacturer
    ALLIED HEALTHCARE
    Product Code
    CAN
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    MA, US
    Reporter Occupation
    RESPIRATORY THERAPIST

    Narratives

    Description of Event or Problem · 1

    PATIENT ENDOTRACHEALY INTUBATED BEING MANULLY VENTILATED WITH RESUSCITATION BAG. CONNECTED TO OXYGEN "E" CYLINDER WITH REGULATOR READING 2000 PSI. PATIENT TRANSPORTED FROM ACUTE CARE AREA TO ICU. PATIENT HAD BRADYCARDIC ARREST WITH CYANOSIS, DESATURATION IN OXYGEN LEVEL. DISCOVERED OXYGEN REGULATOR HAD NO FLOW COMING OUT OF REGULATOR DESPITE BEING TURNED ON.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CHEMTRON OXYGEN "E" CYLINDER REGULATOR CAN ALLIED HEALTHCARE 193-H

    Patients

    Seq Age Sex Outcome Treatment
    1 91 YR Death| L| R