BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    OXYGEN REGULATOR

    MDR report key: 33428 · Received June 18, 1996

    Report

    Report Number
    MW4001352
    Event Type
    Malfunction
    Date Received
    June 18, 1996
    Date of Event
    June 15, 1996
    Report Date
    June 18, 1996
    Manufacturer
    LIFE SUPPORT PRODUCTS, INC.
    Product Code
    CAN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    TX, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    FLASH FIRE FROM CLASS "D" OXYGEN CYLINDER WITH A SUSPECT REGULATOR. FIRE FIGHTER OPENED VALVE ON OXYGEN CYLINDER TO ADMINISTER OXYGEN TO PT DURING AN EMS CALL. FLASH FIRE IMMEDIATELY RESULTED CAUSING SUBSTANTIAL BURNS TO THE ARMS, CHEST, NECK AND FACE OF FIRE FIGHTER. NICKEL SIZE HOLE IN REGULATOR FOUND AFTER FLASH FIRE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OXYGEN REGULATOR OXYGEN REGULATOR CAN LIFE SUPPORT PRODUCTS, INC. 270

    Patients

    Seq Age Sex Outcome Treatment
    1 NO INFO Hospitalization