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