BEUDAMED
    FDA Adverse Event Summary report: N

    OXYGEN SUPPLY TUBING

    MDR report key: 32409 · Received April 29, 1996

    Report

    Report Number
    MW4001158
    Date Received
    April 29, 1996
    Date of Event
    March 22, 1996
    Report Date
    March 29, 1996
    Manufacturer
    HOSPITAK, INC.
    Product Code
    CAT
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MD, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    NURSING PERSONNEL DISCOVERED EXTENSION TUBE FROM WALL OXYGEN CONNECTED TO IV PORT. RESUSCITATION ATTEMPTED. PT DIED. RPTR SUGGESTS COLOR CODING OF OXYGEN AND IV TUBING AND THAT THEY BE MADE INCOMPATIBLE IN SIZE. (ALSO SEE 4001159).

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OXYGEN SUPPLY TUBING OXYGEN CANNULA CAT HOSPITAK, INC.

    Patients

    Seq Age Sex Outcome Treatment
    1 83 YR Death