FDA Adverse Event
Injury
Summary report: N
DIGITAL ULTRA FLUSHMOUNT PACKAGE H
MDR report key: 23620054
·
Received November 21, 2025
Report
- Report Number
- 2020813-2025-00010
- Event Type
- Injury
- Date Received
- November 21, 2025
- Date of Event
- September 8, 2025
- Report Date
- November 21, 2025
- Manufacturer
- ACCUTRON, INC.
- Product Code
- BSZ
- UDI-DI
- 00813830023510
- PMA / PMN Number
- K052335
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
A COMPLETE AND THOROUGH TEST AND EVALUATION WAS CONDUCTED OF DEVICE IN AS RECEIVED CONDITION AND COULD NOT DUPLICATE REPORTED PROBLEM. DEVICE MEETS FACTORY SPECIFICATIONS.
Description of Event or Problem · 0
DISTRIBUTOR REPORTED PATIENTS GETTING SICK ON N2O. TWO PATIENTS VOMITED MID-TREATMENT ON DIFFERENT DAYS IN THIS SAME ROOM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2560567 | DIGITAL ULTRA FLUSHMOUNT PACKAGE H | FLOWMETER AND SCAVANGING CIRCUIT | BSZ | ACCUTRON, INC. | 56800 | 00813830023510 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |