BEUDAMED
    FDA Adverse Event Other Summary report: N

    PRECISION MEDICAL EASY DIAL

    MDR report key: 498256 · Received November 26, 2003

    Report

    Report Number
    2523148-2003-00003
    Event Type
    Other
    Date Received
    November 26, 2003
    Date of Event
    November 8, 2003
    Report Date
    November 25, 2003
    Manufacturer
    PRECISION MEDICAL, INC.
    Product Code
    CAN
    Report Source
    Manufacturer report
    Reporter Location
    KS, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    PT WAS USING OXYGEN IN THEIR AUTOMOBILE, TURNED ON POST VALVE ON OXYGEN TANK, A FLASH FIRE WENT FROM THE POST VALVE INTO THE OXYGEN REGULATOR CAUSING THE PRESSURE GAUGE ON THE REGULATOR TO BE DESTROYED. THE PT RECEIVED 2ND DEGREE BURNS ON THEIR HANDS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PRECISION MEDICAL EASY DIAL OXYGEN REGULATOR CAN PRECISION MEDICAL, INC. 168708D 0199

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other