FDA.reportPublic FDA data

MAUDE MDR 863247

MDR report key
863247
Report number
MW5002483
Event key
0
Event type
3
Date of event
2007-05-04
Date received
2007-06-04
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Report source
P
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1*OXYGEN CYLINDER WITH VALVE AND REGULATORLUXFER CYLINDERECX14606D7251ADNY

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12007-06-040

Event Narratives#

D

Patient 1

CAREGIVER OF PT, (PT'S HUSBAND) WAS REPLACING AN EMPTY OXYGEN USP MEDICAL "E" STYLE CYLINDER WITH A NEW FULL CYLINDER. THE CAREGIVER ATTACHED THE REGULATOR TO THE NEW CYLINDER AND WHEN HE OPENED THE CYLINDER VALVE THERE WAS BRIEF FIRE FLASH.