FLOW METER, OXYGEN Y CONNECTOR *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2014-07-16 for FLOW METER, OXYGEN Y CONNECTOR * manufactured by *.

MAUDE Entry Details

• Report Number: 4246523
• MDR Report Key: 4246523
• Date Received: 2014-07-16
• Date of Report: 2014-07-16
• Date of Event: 2014-06-11
• Report Date: 2014-07-16
• Date Reported to FDA: 2014-07-16
• Date Reported to Mfgr: 2014-11-04
• Date Added to Maude: 2014-11-12
• Event Key: 0
• Report Source Code: User Facility report
• Manufacturer Link: N
• Number of Patients in Event: 0
• Adverse Event Flag: 3
• Product Problem Flag: 3
• Reprocessed and Reused Flag: 3
• Health Professional: 3
• Initial Report to FDA: 3
• Report to FDA: 3
• Event Location: 3
• Single Use: 0
• Previous Use Code: 0
• Event Type: 3
• Type of Report: 3

Device Details

• Brand Name: FLOW METER, OXYGEN Y CONNECTOR
• Generic Name: FLOW METER, OXYGEN Y CONNECTOR
• Product Code: BZH
• Date Received: 2014-07-16
• Model Number: *
• Catalog Number: *
• Lot Number: *
• ID Number: *
• Device Availability: Y
• Device Sequence No: 1
• Device Event Key: 0
• Manufacturer: *
• Manufacturer Address: * * *

Patients

Patient Number	Treatment	Outcome	Date
1	0	1. Required No Informationntervention	2014-07-16