BEUDAMED
    FDA Adverse Event Injury Summary report: N

    OXYS

    MDR report key: 507374 · Received January 9, 2004

    Report

    Report Number
    MW1030792
    Event Type
    Injury
    Date Received
    January 9, 2004
    Date of Event
    December 31, 2003
    Report Date
    January 2, 2004
    Manufacturer
    BOC GASES
    Product Code
    BYJ
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    NEW OXYS OXYGEN E CYLINDERS HAVE PRESSURE GAUGES THAT NOW CONSTANTLY SHOW CONTENTS (HALF FULL, QUARTER FULL, ETC.) REGARDLESS OF WHETHER THE TANK IS ON OR OFF. THIS IS CAUSING MAJOR CONFUSTON WITH STAFF THAT IS USED TO USING OTHER OXYGEN E CYLINDERS BECAUSE THE PRESSURE (CONTENTS) GAUGE ONLY SHOWED PRESSURE (AMOUNT LEFT IN TANK) WHEN THE TANK WAS TURNED ON. STAFF MEMBERS ARE THINKING THAT THE OXYGEN TANK HAS BEEN TURNED ON BECAUSE THE GAUGE READS THAT THERE IS PRESSURE STILL LEFT IN THE TANK, WHEN IN REALITY THE TANK IS STILL OFF. THIS IS GOING TO CAUSE A SERIOUS PROBLEM OF STAFF ASSUMING THE TANK IS ON DUE TO THE PRESSURE GAUGE, HOOKING THE PT UP TO THE NIPPLE, AND THE PT DESATURATING BECAUSE THE STAFF BELEIVES THE TANK IS ON. RPTR FEELS SHOULD NOT CHANGE SOMETHING THAT HAS ALWAYS BEEN DIFFERENT IN THE PAST.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OXYS OXYGEN E CYLINDER BYJ BOC GASES * *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Required Intervention