BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    NONE

    MDR report key: 228530 · Received May 28, 1999

    Report

    Report Number
    1937613-1999-00001
    Event Type
    Malfunction
    Date Received
    May 28, 1999
    Date of Event
    March 31, 1999
    Report Date
    May 28, 1999
    Manufacturer
    ESSEX MEDICAL SYSTEMS
    Product Code
    CAN
    Report Source
    Manufacturer report

    Narratives

    Description of Event or Problem · 1

    OXYGEN REGULATOR ATTACHED TO "H" CYLINDER. CYLINDER VALVE OPENED AND FLOWRATE "CLICK ADAPTOR" BLEW OUT OF REGULATOR WITH FORCE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NONE OXYGEN REGULATOR CAN ESSEX MEDICAL SYSTEMS

    Patients

    Seq Age Sex Outcome Treatment
    1 Other