BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    WOB

    MDR report key: 16281024 · Received February 1, 2023

    Report

    Report Number
    3003764448-2023-00001
    Event Type
    Malfunction
    Date Received
    February 1, 2023
    Date of Event
    December 23, 2022
    Manufacturer
    CONTROL DEVICES, LLC
    Product Code
    CAN
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL
    Health Professional
    Yes

    Narratives

    Description of Event or Problem · 0

    CUSTOMER ALLEGES THAT CONTAINER FAILED TO DISPENSE OXYGEN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    99447 WOB GAS CYLINDER REGULATOR CAN CONTROL DEVICES, LLC 290799-6

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown Required Intervention