FDA Adverse Event
Other
Summary report: N
ALLIED OXYGEN FLOWMETER
MDR report key: 238575
·
Received August 30, 1999
Report
- Report Number
- 1924066-1999-00015
- Event Type
- Other
- Date Received
- August 30, 1999
- Date of Event
- May 1, 1999
- Report Date
- July 13, 1999
- Manufacturer
- ALLIED HEALTHCARE PRODUCTS, INC.
- Product Code
- CAN
- Report Source
- Manufacturer report
- Reporter Location
- CO, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
THE FLOWMETER WAS PLUGGED INTO THE WALL 02 LINE IN THE NORMAL FASHION. THESE FLOWMETERS STAY IN THE WALL AT ALL TIMES. NO ACTIVITIES WERE OCCURRING WHEN THE FLOWMETER SIMPLY BROKE. THERE IS A SAFETY CATCH ON THE FLOWMETER AS THOUGH BREAKAGE IN THIS FASHION IS COMMON. THIS IS THE THIRD FLOWMETER TO BREAK IN THIS FASHION. THE ROOM WAS UNOCCUPIED AT THE TIME.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | ALLIED OXYGEN FLOWMETER | 0-3 LPM OXYGEN FLOWMETER | CAN | ALLIED HEALTHCARE PRODUCTS, INC. | B60Z03 | 35396 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | * |