PRECISION MEDICAL AMFA 1001 *

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2004-07-07 for PRECISION MEDICAL AMFA 1001 * manufactured by Precision Medical.

Event Text Entries

[360194] Rn noted pt o2 sats dropping to 88%. She traced o2 tubing back to flow meter and noted low flow meter in use at. 2lpm. Meter changed and rate set at 1lpm with improved o2 sats. Pt received x-rays as result of incorrect info. These flow meters had been pulled due to difficulty seeing the decimal point; however, this one was still in circulation.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW1032543
MDR Report Key540887
Date Received2004-07-07
Date of Report2004-06-30
Date of Event2004-04-19
Date Added to Maude2004-08-30
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationRISK MANAGER
Health Professional3
Initial Report to FDA0
Report to FDA0
Event Location3
Single Use0
Previous Use Code0
Event Type3
Type of Report3

Device Details

Brand NamePRECISION MEDICAL
Generic NameWALL O2 LOW FLOW METER
Product CodeCCN
Date Received2004-07-07
Model NumberAMFA 1001
Catalog Number*
Lot Number*
ID Number*
Device AvailabilityN
Implant FlagN
Date Removed*
Device Sequence No1
Device Event Key530218
ManufacturerPRECISION MEDICAL
Manufacturer Address300 HELD DR NORTHAMPTON PA 18067 US


Patients

Patient NumberTreatmentOutcomeDate
10 2004-07-07

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