BEUDAMED
    FDA Adverse Event Other Summary report: N

    STROLLER TF

    MDR report key: 97959 · Received June 10, 1997

    Report

    Report Number
    2129616-1997-00001
    Event Type
    Other
    Date Received
    June 10, 1997
    Date of Event
    November 1, 1995
    Report Date
    June 6, 1996
    Manufacturer
    CAIRE, INC.
    Product Code
    BYJ
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    TN, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    USER WAS A PASSENGER IN A VEHICLE AND THE PORTABLE OXYGEN UNIT SHE WAS USING TIPPED OVER ON ITS SIDE. AFTER SEVERAL MINUTES, LIQUID OXYGEN TRAVELED UP THE PT'S CANNULA. PT RECEIVED CRYO-BURNS TO FACE, NECK, AND NOSE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 STROLLER TF PORTABLE LIQUID OXYGEN UNIT BYJ CAIRE, INC. 10564109 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 * Other