BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    OHMEDA

    MDR report key: 513851 · Received February 18, 2004

    Report

    Report Number
    MW1031261
    Event Type
    Malfunction
    Date Received
    February 18, 2004
    Date of Event
    January 29, 2004
    Report Date
    February 10, 2004
    Manufacturer
    OHMEDA MEDICAL
    Product Code
    CAN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    VA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PUTTING O2 TUBING INTO WALL OUTLET. TUBING WOULDN'T GO IN SO RESPIRATORY THERAPIST PULLED BACK ON TUBING. AS SHE PULLED IT OUT IT BEGAN TO BLOW OUT AIR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OHMEDA O2 FLOW METER & WALL PLATE CAN OHMEDA MEDICAL * *

    Patients

    Seq Age Sex Outcome Treatment
    1 71 YR Other