O2 FLOW METER 0197

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2019-05-10 for O2 FLOW METER 0197 manufactured by Precision Medical, Inc..

Event Text Entries

[145031497] While bagging a pt, the rt came in and stated that earlier she had trouble with the flow meter that the bag was on during an epi. I quickly changed it to the other 15 liter flow meter in the room and resumed bagging.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5086581
MDR Report Key8604954
Date Received2019-05-10
Date of Report2019-05-03
Date of Event2019-04-29
Date Added to Maude2019-05-13
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
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 FLOW METER
Generic NameFLOWMETER, TUBE, THORPE, BACK-PRESSURE COMPENSATED
Product CodeCAX
Date Received2019-05-10
Model Number0197
Lot Number300
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerPRECISION MEDICAL, INC.


Patients

Patient NumberTreatmentOutcomeDate
10 2019-05-10

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