OXYGEN E-CYLINDERS (5 CYLINDERS IN HOME)

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-02-28 for OXYGEN E-CYLINDERS (5 CYLINDERS IN HOME) manufactured by The Aftermarket Group.

Event Text Entries

[138155662] A fire occurred at patient? S home. Patient was home at the time of the fire. An oxygen concentrator and 5 oxygen e-cylinders were in the home. The fire department reported that neighbors heard some explosions prior to the fire being reported. The fire department found the patient deceased. The medical examiner reported the patient had smoke inhalation and post-mortem burns. An autopsy is pending.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number8400794
MDR Report Key8400794
Date Received2019-02-28
Date of Report2019-02-28
Date of Event2019-02-18
Date Facility Aware2019-02-19
Report Date2019-02-28
Date Reported to FDA2019-02-28
Date Reported to Mfgr2019-02-28
Date Added to Maude2019-03-07
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Generic NameOXYGEN E-CYLINDERS (5 CYLINDERS IN HOME)
Product CodeCAN
Date Received2019-02-28
OperatorLAY USER/PATIENT
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerTHE AFTERMARKET GROUP
Manufacturer Address39400 TAYLOR PARKWAY NORTH RIDGEVILLE OH 44039 US 44039


Patients

Patient NumberTreatmentOutcomeDate
101. Death 2019-02-28

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