BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDICAL FLOW SELECTOR

    MDR report key: 34589 · Received June 21, 1996

    Report

    Report Number
    34589
    Event Type
    Injury
    Date Received
    June 21, 1996
    Date of Event
    March 9, 1996
    Report Date
    June 21, 1996
    Manufacturer
    MEDICAL FITTINGS, INC.
    Product Code
    CAX
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    ME, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE OXYGEN FLOW WAS NOT CONNECTED PROPERLY AT THE OXYGEN FLO-SELECTOR. AS A RESULT OF THE PROBLEM, THE POTENTIAL FOR IMPROPER OXYGEN CONNECTIONS IS EVIDENT. SHORTLY AFTER THE INCIDENT, THE FLOW SELECTOR DEVICES WERE ALL REMOVED FROM SERVICE TO PREVENT REPEATS OF THIS TYPE OF OCCURRENCE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDICAL FLOW SELECTOR FLOW SELECTOR DEVICE CAX MEDICAL FITTINGS, INC. MF8025 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 72 YR Required Intervention