FDA Adverse Event Malfunction Summary report: N

OXYTOTE

MDR report key: 19219955 · Received May 1, 2024

Report

Report Number
19219955
Event Type
Malfunction
Date Received
May 1, 2024
Date of Event
April 8, 2024
Report Date
April 22, 2024
Manufacturer
WESTERN/SCOTT FETZER COMPANY
Product Code
CAN
Product Problem
Yes
Report Source
User Facility report
Reporter Location
CT
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Description of Event or Problem · 0

NEW TANK CAME INTO THE RESPIRATORY DEPARTMENT WITH A PSI READING OF 1701. PROBLEM WITH TANKS REGULATOR. TANK WAS FLAGGED AND SENT BACK TO AERO ALLGAS (OXYGEN DISTRIBUTOR).THESE GAUGES HAVE BEEN ACKNOWLEDGED BY THE MANUFACTURER WESTERN TO BE DEFECTIVE AT UNKNOWN RATE AND ARE REPAIRING VIA THE OXYGEN DISTRIBUTOR.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2138249 OXYTOTE REGULATOR, PRESSURE, GAS CYLINDER CAN WESTERN/SCOTT FETZER COMPANY

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown