BEUDAMED
    FDA Adverse Event Death Summary report: N

    OXYGEN TUBING

    MDR report key: 33319 · Received June 5, 1996

    Report

    Report Number
    MW1009230
    Event Type
    Death
    Date Received
    June 5, 1996
    Date of Event
    March 22, 1996
    Report Date
    April 17, 1996
    Manufacturer
    HOSPITAK, INC.
    Product Code
    BYX
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MD, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    THE DECEASED WAS AN 83-YR-OLD WHITE MALE WHO DIED OF GAS EMBOLISM WHICH RESULTED FROM HIS OXYGEN TUBING BEING CONNECTED TO HIS INTRAVENOUS LINE. PT WAS ADMITTED FOR HEMATURICY. HAD A PROCEDURE, AND FOUND DEAD AFTERWARD WITH OXYGEN CONNECTED TO IV.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 83 YR Death