BEUDAMED
    FDA Adverse Event Summary report: N

    O2 TUBING

    MDR report key: 7475134 · Received April 30, 2018

    Report

    Report Number
    MW5076904
    Date Received
    April 30, 2018
    Date of Event
    April 1, 2018
    Report Date
    April 26, 2018
    Manufacturer
    MEDLINE
    Product Code
    BZB
    Report Source
    Voluntary report
    Reporter Location
    FL, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    I HAVE ITCHING AND IRRITATED RED SKIN AND FEEL SURE IT IS THE NEW O2 SOFT TUBING GIVEN ME BY THE TECH WHO CHECKS MY CONCENTRATION AND THE LABEL ON THE SOFT LIGHT GREEN HUDSON RCI TUBING SAID NON DEPH AND THE CLEAR SOFT TUBING CONTAINS DEPH. I READ A LOT ONLINE AND WONDERING IF I CAN BE ALLERGIC TO IT. I AM ALLERGIC TO SULFA DRUGS AND CODEINE. I HAVE HAD (B)(6) 4 YRS AGO AND THEN PSORIASIS. THIS IS A RED IRRITATED AREA WHERE THE TUBING TOUCHES BEHIND MY EARS, MY FACE AND NECK. CAN I BE ALLERGIC TO THIS NEW SOFTER TUBING. DATES OF USE: (B)(6) 2018. DIAGNOSIS OR REASON FOR USE: NIGHT CONCENTRATOR FOR COPD. "IS THE PRODUCT COMPOUNDED: YES; IS THE PRODUCT OVER-THE-COUNTER: NO."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    316883 O2 TUBING O2 TUBING BZB MEDLINE 49115070001

    Patients

    Seq Age Sex Outcome Treatment
    1 77 YR Other