BEUDAMED
    FDA Adverse Event Other Summary report: N

    FLOTEC

    MDR report key: 338649 · Received June 18, 2001

    Report

    Report Number
    MW1022201
    Event Type
    Other
    Date Received
    June 18, 2001
    Date of Event
    June 11, 2001
    Report Date
    June 18, 2001
    Manufacturer
    FLOTEC
    Product Code
    CAX
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER HEALTH CARE PROFESSIONAL

    Narratives

    Description of Event or Problem · 1

    DURING MORNING EQUIPMENT CHECKS USER RECEIVED A SUPERFICIAL BURN ON THE RIGHT RING FINGER AFTER TURNING ON AN ALUMINUM OXYGEN CYLINDER TO CHECK FOR OXYGEN SUPPLY LEVEL. A FLASH FIRE OCCURRED AT THE CONNECTION OF THE BRASS OXYGEN REGULATOR AND ALUMINUM TANK DAMAGING THE REGULATOR AND TANK. THE RESULTANT FLASH FIRE DISCOLORED THE PAINT ON THE TANK AND MELTED A SMALL PORTION OF THE BRASS TANK VALVE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    27810 FLOTEC BRASS DUAL PORT OXYGEN REGULATOR CAX FLOTEC * *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other