O2 TUBING RA11SWY

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2018-04-30 for O2 TUBING RA11SWY manufactured by Medline.

Event Text Entries

[107195559] I have itching and irritated red skin and feel sure it is the new o2 soft tubing given me by the tech who checks my concentration and the label on the soft light green hudson rci tubing said non deph and the clear soft tubing contains deph. I read a lot online and wondering if i can be allergic to it. I am allergic to sulfa drugs and codeine. I have had (b)(6) 4 yrs ago and then psoriasis. This is a red irritated area where the tubing touches behind my ears, my face and neck. Can i be allergic to this new softer tubing. Dates of use: (b)(6) 2018. Diagnosis or reason for use: night concentrator for copd. "is the product compounded: yes; is the product over-the-counter: no. "
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5076904
MDR Report Key7475134
Date Received2018-04-30
Date of Report2018-04-26
Date of Event2018-04-01
Date Added to Maude2018-05-01
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report0

Device Details

Brand NameO2 TUBING
Generic NameO2 TUBING
Product CodeBZB
Date Received2018-04-30
Catalog NumberRA11SWY
Lot Number49115070001
OperatorLAY USER/PATIENT
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerMEDLINE


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-04-30

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