BEUDAMED
    FDA Adverse Event Other Summary report: N

    ACCUTRON

    MDR report key: 3139945 · Received May 29, 2013

    Report

    Report Number
    1044295-2013-00001
    Event Type
    Other
    Date Received
    May 29, 2013
    Date of Event
    April 29, 2013
    Report Date
    May 29, 2013
    Manufacturer
    THE HARRIS PRODUCTS GROUP
    Product Code
    CAN
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    (REFERENCE VOLUNTARY REPORT # (B)(4)) THE TECHNICIAN WERE REPORTED AS TURNING ON THE GAS CYLINDER (PRESUMABLY OPENING THE VALVE ON THE CYLINDER) WHEN A FIRE OCCURRED. THE OXYGEN REGULATOR, AS SHOWN IN PHOTOS PROVIDED BY THE REPORTER, APPEARS TO HAVE BEEN DAMAGE IN THE FIRE. THE SEQUENCE OF EVENTS RESULTING IN THE FIRE ARE UNKNOWN. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    233769 ACCUTRON OXYGEN PRESSURE REGULATOR CAN THE HARRIS PRODUCTS GROUP 25-2T559-540 NI

    Patients

    Seq Age Sex Outcome Treatment
    1 NI Other