FDA Adverse Event
Injury
Summary report: N
ULTRA DC FLOWMETER
MDR report key: 24781789
·
Received April 3, 2026
Report
- Report Number
- 2020813-2026-00002
- Event Type
- Injury
- Date Received
- April 3, 2026
- Date of Event
- December 11, 2025
- Report Date
- April 3, 2026
- Manufacturer
- ACCUTRON INC
- Product Code
- BSZ
- UDI-DI
- 00813830021219
- PMA / PMN Number
- K970163
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- KY, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
DEVICE HAS NOT BEEN RETURNED FOR INVESTIGATION.
Description of Event or Problem · 0
PEDIATRIC PATIENT WAS UNABLE TO WAKE UP AFTER PROCEDURE. EMERGENCY SERVICES WERE CALLED BUT PATIENT WOKE UP BEFORE THEIR ARRIVAL. PATIENT IS FINE NOW.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 838102 | ULTRA DC FLOWMETER | ANESTHESIA GAS MACHINE | BSZ | ACCUTRON INC | 31980 | 00813830021219 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Other |