FDA Adverse Event Injury Summary report: N

FLOW METER, OXYGEN Y CONNECTOR

MDR report key: 4246523 · Received July 16, 2014

Report

Report Number
4246523
Event Type
Injury
Date Received
July 16, 2014
Date of Event
June 11, 2014
Report Date
July 16, 2014
Product Code
BZH
Adverse Event
Yes
Product Problem
Yes
Report Source
User Facility report
Reporter Location
FL, US

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
417151 FLOW METER, OXYGEN Y CONNECTOR FLOW METER, OXYGEN Y CONNECTOR BZH * *

Patients

Seq Age Sex Outcome Treatment
1 59 YR Required Intervention