BEUDAMED
    FDA Adverse Event Death Summary report: N

    CHEMETRON

    MDR report key: 558531 · Received December 8, 2004

    Report

    Report Number
    1924066-2004-00006
    Event Type
    Death
    Date Received
    December 8, 2004
    Date of Event
    November 23, 2004
    Report Date
    December 6, 2004
    Manufacturer
    ALLIED HEALTHCARE PRODUCTS, INC.
    Product Code
    CAX
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    BIOMEDICAL ENGINEER

    Narratives

    Description of Event or Problem · 1

    A PATIENT DIED DURING USAGE OF FLOWMETER. THE PATIENT WAS ORIGINALLY PRESCRIBED A FLOOD OXYGEN FLOW OF 15 LPM. THE DOCTOR CHANGED THE PRESCRIPTION TO 14 LPM AND THE NURSE ON DUTY WAS UNABLE TO ADJUST THE FLOW DUE TO THE FLOWMETER BALL STICKING IN THE FLOWMETER TUBE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 CHEMETRON FLOWMETER CAX ALLIED HEALTHCARE PRODUCTS, INC. 34-01-0202 04/95

    Patients

    Seq Age Sex Outcome Treatment
    1 * Death