BEUDAMED
    FDA Adverse Event Death Summary report: N

    PRECISION MEDICAL INC.

    MDR report key: 372953 · Received January 16, 2002

    Report

    Report Number
    2523148-2002-00001
    Event Type
    Death
    Date Received
    January 16, 2002
    Date of Event
    January 11, 2002
    Report Date
    January 16, 2002
    Manufacturer
    PRECISION MEDICAL, INC.
    Product Code
    CAX
    Report Source
    Manufacturer report
    Reporter Location
    CT, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT WAS ELECTIVELY INTUBATED AFTER THE CONCLUSION OF A CARDIAC CATH PROCEDURE AND RECEIVED NITROUS OXIDE INSTEAD OF OXYGEN. THE OXYGEN FLOWMETER WAS USED WITH AN ADAPTER/CONNECTOR ONE OF TWO PRONGS WAS BROKEN OFF CONNECTOR ALLOWING INSERTION INTO NITROUS OXIDE PORT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PRECISION MEDICAL INC. OXYGEN FLOWMETER & CONNECTOR CAX PRECISION MEDICAL, INC. 1MFA4001 NI

    Patients

    Seq Age Sex Outcome Treatment
    1 77 YR Death