FDA Adverse Event
Injury
Summary report: N
FLOWMETER, DIGITAL FLUSHMOUNT
MDR report key: 24639176
·
Received March 19, 2026
Report
- Report Number
- 2020813-2026-00001
- Event Type
- Injury
- Date Received
- March 19, 2026
- Date of Event
- February 23, 2026
- Report Date
- March 27, 2026
- Manufacturer
- ACCUTRON, INC.
- Product Code
- BSZ
- UDI-DI
- 00813830020885
- PMA / PMN Number
- K052335
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
DEVICE HAS NOT BEEN RETURNED FOR INVESTIGATION.
Additional Manufacturer Narrative · 0
DEVICE RETURNED TO MANUFACTURER. TEST AND EVALUATION WAS CONDUCTED IN AS RECEIVED CONDITION AND COULD NOT DUPLICATE REPORTED PROBLEM OF HIGH N2O FLOW. WHEN O2 GAS WAS NOT PRESENT, N2O WOULD NOT FLOW, PROVING FAILSAFE SYSTEM IS WORKING. DEVICE MEETS FACTORY SPECIFICATION. LIKEWISE, THE DHR REVIEW DID NOT IDENTIFY ANY ISSUES WITH THE UNIT THAT MAY HAVE CONTRIBUTED TO THE REPORTED FAILURE MODE.
Description of Event or Problem · 0
DISTRIBUTOR STATED THAT (B)(6) REPORTED THAT DURING PROCEDURE, THE PATIENT EXPERIENCED DIZZINESS AND NAUSEA. ACCORDING TO THE OPERATOR, EVEN WHEN THE NITROUS OXIDE CONCENTRATION WAS SET TO 0% (OXYGEN-ONLY MODE), THE PATIENT STILL APPEARED TO BE AFFECTED AS IF NITROUS OXIDE WAS BEING DELIVERED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 176550 | FLOWMETER, DIGITAL FLUSHMOUNT | FLOWMETER | BSZ | ACCUTRON, INC. | 27076 | 00813830020885 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |