BEUDAMED
    FDA Adverse Event Death Summary report: N

    OXYGEN SUPPLY TUBE 25'

    MDR report key: 7642036 · Received June 21, 2018

    Report

    Report Number
    7642036
    Event Type
    Death
    Date Received
    June 21, 2018
    Date of Event
    June 7, 2018
    Report Date
    June 21, 2018
    Manufacturer
    SUNSET
    Product Code
    CAT
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    WI, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    THE PT GOT UP OUT OF HER CHAIR, STARTED WALKING AND TRIPPED OVER HER OXYGEN TUBING. PT AND POA REFUSED HOSPITAL TRANSPORT, HAD AN X-RAY DONE THE NEXT DAY WHICH SHOWED A LEFT HIP AND FEMUR FRACTURE. THE PT AND POA REFUSED TREATMENT AND WISHED TO BE KEPT COMFORTABLE. PT DIED LATER THAT DAY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    468158 OXYGEN SUPPLY TUBE 25' OXYGEN TUBING CAT SUNSET DEVILBISS

    Patients

    Seq Age Sex Outcome Treatment
    1 80 YR Death