BEUDAMED
    FDA Adverse Event Injury Summary report: N

    *

    MDR report key: 512818 · Received February 11, 2004

    Report

    Report Number
    MW1031140
    Event Type
    Injury
    Date Received
    February 11, 2004
    Date of Event
    February 11, 2004
    Report Date
    February 11, 2004
    Manufacturer
    ERIE MEDICAL
    Product Code
    CAN
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    OXYGEN CYLINDER WAS TURNED ON TO GIVE THE PT OXYGEN. THE NOSE POPPED OFF AND THE REGULATOR EXPLODED. THE PT WAS HIT, BUT FELT MUCH BETTER LATER ON NO SERIOUS INJURIES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * OXYGEN REGULATOR CAN ERIE MEDICAL UNK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 86 YR