BEUDAMED
    FDA Adverse Event Injury Summary report: N

    *

    MDR report key: 433698 · Received December 18, 2002

    Report

    Report Number
    2523148-2002-00005
    Event Type
    Injury
    Date Received
    December 18, 2002
    Date of Event
    November 27, 2002
    Report Date
    December 12, 2002
    Manufacturer
    PRECISION MEDICAL, INC.
    Product Code
    CAN
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PATIENT ON OXYGEN VIA NASAL CANNULA BECAME HYPOXIC WHEN STAFF DISCONNECTED OXYGEN TUBING TO UNTWIST TUBING AND RECONNECTED TUBING TO OTHER CONNECTER WHICH DID NOT DELIVER OXYGEN. PATIENT PLACED ON VENTIMASK AND RECOVERED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * OXYGEN FLOW METER CAN PRECISION MEDICAL, INC. 3MFA1006 UNK AT THIS TIME

    Patients

    Seq Age Sex Outcome Treatment
    1 85 YR Required Intervention