BEUDAMED
    FDA Adverse Event Injury Summary report: N

    PULSAIR OMS 50

    MDR report key: 40946 · Received October 2, 1996

    Report

    Report Number
    1052224-1996-00001
    Event Type
    Injury
    Date Received
    October 2, 1996
    Date of Event
    August 23, 1996
    Report Date
    September 26, 1996
    Manufacturer
    DEVILBISS HEALTH CARE, INC. PULSAIR PLANT
    Product Code
    CCN
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT USING OXYGEN CONSERVING DEVICE WITH OXYGEN CYLINDER. UPON GETTING OUT OF THE CAR, HEARD A LOUD LEAKING NOISE, THEN SAW SOME SOME, AND FLAMES COMING FROM BAG.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PULSAIR OMS 50 * CCN DEVILBISS HEALTH CARE, INC. PULSAIR PLANT OMS 50 *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Hospitalization