FDA Adverse Event
Malfunction
Summary report: N
OXYTOTE GAUGE
MDR report key: 19614260
·
Received June 26, 2024
Report
- Report Number
- 19614260
- Event Type
- Malfunction
- Date Received
- June 26, 2024
- Date of Event
- May 21, 2024
- Report Date
- May 28, 2024
- Manufacturer
- WESTERN/SCOTT FETZER COMPANY
- Product Code
- CAN
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- CT
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Description of Event or Problem · 0
"TRANSPORTED VENTILATOR PATIENT TO CT-SCAN VENTILATOR ALARMING LOW O2 PRESSURE INTUBATED PT BEING TRANSPORTED TO CT-SCAN ON TRANSPORT VENT WITH PORTABLE TANK TRANSPORT WAS ALARMING LOW PRESSURE TANK PRESSURE WAS READING 1533PSI AND NO OXYGEN WAS FLOWING FROM TANK. PATIENT MANUALLY VENTILATED USING ANOTHER TANK. TANK REMOVED FROM SERVICE O2 COMPANY TO BE NOTIFIED."
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 678572 | OXYTOTE GAUGE | REGULATOR, PRESSURE, GAS CYLINDER | CAN | WESTERN/SCOTT FETZER COMPANY | MNDR-600 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |