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 |