BEUDAMED
    FDA Adverse Event Death Summary report: N

    PRECISION MEDICAL

    MDR report key: 373016 · Received January 16, 2002

    Report

    Report Number
    2523148-2002-00002
    Event Type
    Death
    Date Received
    January 16, 2002
    Date of Event
    January 15, 2002
    Report Date
    January 16, 2002
    Manufacturer
    PRECISION MEDICAL
    Product Code
    CAX
    Report Source
    Manufacturer report
    Reporter Location
    MO, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    OXYGEN FLOW METER USED WITH ADAPTER/CONNECTOR ALLOWING INSERTION INTO NITROUS OXIDE PORT. PT WAS ON VENTILATOR DURING CODE SITUATION OCCURRING DURING CARDIAC CATH AND RECEIVED NITROUS OXIDE INSTEAD OF OXYGEN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PRECISION MEDICAL EASY DIAL REGULATOR CAX PRECISION MEDICAL 1687080 NI

    Patients

    Seq Age Sex Outcome Treatment
    1 68 YR Death