BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    *

    MDR report key: 863247 · Received June 4, 2007

    Report

    Report Number
    MW5002483
    Event Type
    Malfunction
    Date Received
    June 4, 2007
    Date of Event
    May 4, 2007
    Report Date
    June 4, 2007
    Manufacturer
    LUXFER CYLINDER
    Product Code
    ECX
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    CAREGIVER OF PT, (PT'S HUSBAND) WAS REPLACING AN EMPTY OXYGEN USP MEDICAL "E" STYLE CYLINDER WITH A NEW FULL CYLINDER. THE CAREGIVER ATTACHED THE REGULATOR TO THE NEW CYLINDER AND WHEN HE OPENED THE CYLINDER VALVE THERE WAS BRIEF FIRE FLASH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 * OXYGEN CYLINDER WITH VALVE AND REGULATOR ECX LUXFER CYLINDER 14606D7251AD

    Patients

    Seq Age Sex Outcome Treatment
    1 YR