OHMEDA *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2011-11-29 for OHMEDA * manufactured by Ohio Medical Corporation.

Event Text Entries

[19675358] During normal nasal cannula check, found no bubbling in the humidifier. Checked flowmeter, ball at liter-per-minute; when flow turned up, bubbling increased. Then tried to turn flowmeter off; ball would not decrease to zero. Found that flowmeter had small crack in the flow tube assembly.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number2354310
MDR Report Key2354310
Date Received2011-11-29
Date of Report2011-11-29
Date of Event2011-10-30
Report Date2011-11-29
Date Reported to FDA2011-11-29
Date Added to Maude2011-12-01
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag0
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NameOHMEDA
Generic NameFLOWMETER, OXYGEN
Product CodeCAX
Date Received2011-11-29
Model Number*
Catalog Number*
Lot Number*
ID Number*
Device AvailabilityN
Device Sequence No1
Device Event Key0
ManufacturerOHIO MEDICAL CORPORATION
Manufacturer Address1111 LAKESIDE DRIVE GURNEE IL 60031 US 60031


Patients

Patient NumberTreatmentOutcomeDate
10 2011-11-29

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