BEUDAMED
    FDA Adverse Event Death Summary report: N

    OXYGEN REGULATOR

    MDR report key: 210537 · Received February 8, 1999

    Report

    Report Number
    1223412-1999-00001
    Event Type
    Death
    Date Received
    February 8, 1999
    Date of Event
    January 11, 1999
    Manufacturer
    CONTEMPORARY PRODUCTS, INC.
    Product Code
    CAN
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NV, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED TO CONTEMPORARY PRODUCTS INC.(CPI) THAT A PT WAS IN THE EXAM ROOM. THE PT WAS IN THE EXAM ROOM WAITING FOR THE DR WHEN SHE HEARD A "POP AND A SWOOSH NOISE, AND RUN-OUT OF THE OFFICE ON FIRE". THE PT WAS FLOWN BY HELICOPTER TO A TRAUMA CENTER FOR TREATMENT. IT WAS REPORTED TO CPI ON 02/05/1999 THAT THE PT PERISHED ON 01/23/1999. THIS REPORT IS FOR THE SAME INCIDENT REPORTED ON MDR 1223412-1999-00002.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OXYGEN REGULATOR COMPRESSED GAS REGULATOR CAN CONTEMPORARY PRODUCTS, INC. FR-870M NA

    Patients

    Seq Age Sex Outcome Treatment
    1 NA Death