FDA Adverse Event
Malfunction
Summary report: N
USP GAS
MDR report key: 22916109
·
Received August 28, 2025
Report
- Report Number
- MW5175363
- Event Type
- Malfunction
- Date Received
- August 28, 2025
- Date of Event
- August 18, 2025
- Report Date
- August 22, 2025
- Manufacturer
- AIRGAS USA LLC
- Product Code
- BXK
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- WA, US
- Reporter Occupation
- PATIENT FAMILY MEMBER OR FRIEND
- Health Professional
- *
Narratives
Description of Event or Problem · 0
A COMPANY CALLED (B)(4) DISTRIBUTES OXYGEN CYLINDERS TO THE RETIREMENT COMMUNITY THAT MY MOTHER-IN-LAW IS IN. SHE IS IN HOSPICE CARE. I HAVE BEEN IN THE MEDICAL GAS INDUSTRY FOR 38 YEARS. THE CYLINDERS HAVE REPEATEDLY BEEN DELIVERED EMPTY AND NONE OF THE CYLINDERS HAVE CAPS OR RINGS WITH THE CYLINDERS. IT LOOKS AS THOUGH AIRGAS FILLS THE CYLINDERS. THE LAST CYLINDERS DELIVERED HAD BLUE DUCT TAPE WRAPPED AROUND THE VALVES. DUCT TAPE HAS HYDROCARBON PRODUCTS INVOLVED IN ITS MANUFACTURE. THIS IS AN ONGOING ISSUE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2130320 | USP GAS | GAS, CALIBRATION (SPECIFIED CONCENTRATION) | BXK | AIRGAS USA LLC | W2405126GA03 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 85 YR | Female | Other |