FDA Adverse Event
Summary report: N
CO2 TANK
MDR report key: 3624023
·
Received January 22, 2014
Report
- Report Number
- 3624023
- Date Received
- January 22, 2014
- Date of Event
- January 22, 2014
- Report Date
- January 22, 2014
- Manufacturer
- OHIO MEDICAL
- Product Code
- ECX
- Report Source
- User Facility report
- Reporter Location
- IL, US
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
POST-OP PATIENT CONNECTED TO PORTABLE MEDICAL GAS TANK FOR TRANSPORT. OXYGEN SATURATION DROPPED. PATIENT CARDIAC ARRESTED. FOUND THAT PT WAS CONNECTED TO A CO2 TANK. PATIENT WAS SUCCESSFULLY RESUSCITATED. THE CO2 TANK HAD A GREEN PLASTIC ADAPTER (CONE SHAPED ADAPTER) ON THE REGULATOR NOZZLE. GREEN ADAPTORS INDICATE OXYGEN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 52557 | CO2 TANK | CYLINDER, COMPRESSED GAS, AND VALVE | ECX | OHIO MEDICAL | * | * | |
| 52558 | GREEN REGULATOR | REGULATOR, PRESSURE, GAS CYLINDER | CAN | WESTERN MEDICAL | * | * |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 80 YR | WORD OHIO STAMPED INTO THE METAL. TANK| REGULATOR MFG: WESTERN MEDICAL, WESTLAKE, OH | RADNOR, PA.| CO2 TANK MFG: TANK MFG NAME UNKNOWN. TANK HAS THE| NO OTHER THERAPIES| DISTRIBUTOR: AIRGAS PURITAN MEDICAL/ AIRGAS USA, |