LUXFER

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2011-08-29 for LUXFER manufactured by .

Event Text Entries

[19843806] On (b)(6) 2011 employee (contracted) was changing e-tank when the tank disengaged releasing o2 while employee was holding onto valve causing burns and frost bite to bilateral hands. Medical products group (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5021946
MDR Report Key2234278
Date Received2011-08-29
Date of Report2011-08-18
Date of Event2011-08-10
Date Added to Maude2011-09-06
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameLUXFER
Generic NameE-TANK WITH FLIPSTEM
Product CodeECX
Date Received2011-08-29
Returned To Mfg2011-08-10
Lot Number2171102-682
OperatorHEALTH PROFESSIONAL
Device AvailabilityR
Device Sequence No1
Device Event Key0


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2011-08-29

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