BEUDAMED
    FDA Adverse Event Death Summary report: N

    FLOWMETER

    MDR report key: 198947 · Received November 25, 1998

    Report

    Report Number
    198947
    Event Type
    Death
    Date Received
    November 25, 1998
    Date of Event
    October 18, 1998
    Report Date
    November 25, 1998
    Manufacturer
    PRECISION MEDICAL, INC.
    Product Code
    CAX
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    RESPIRATORY THERAPIST FOUND OXYGEN FLOWMETER TURNED OFF. FLOWMETER CONTROLLED OXYGEN SOURCE TO CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP) SET UP. RN HAD RECENTLY COMPLETED CHEST PHYSIOTHERAPY AND SUCTIONING OF PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FLOWMETER OXYGEN FLOWMETER CAX PRECISION MEDICAL, INC. * 180

    Patients

    Seq Age Sex Outcome Treatment
    1 39 DAY Death 7. EMERSON CPAP VALVE,| 8. EMERSON ALARM MODULE, MODEL #3VAP,| 1. BIRD BLENDER, MODEL # 0383800A,| 6. FISHER & PAYKEL HUMIDIFIER, MODEL # MR730,| 10. VITAL SIGNS RESUSCITATOR,| 11. PURITAN MANOMETER.| 3. MINI OX III OXYGEN ANALYZER,| 5. BIRD POP OFF VALVE, MODEL # 9995512T,| 4. MSA OXYGEN SENSOR,| 2. PRECISION MEDICAL FLOWMETER (0-15 LPM),| 9. MANAGED MEDICAL SPECIALIES MANOMETER,