MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2019-08-23 for LIFE SUPPORT PRODUCTSOXYGEN REGULATOR L270-050 manufactured by Allied Healthcare Products, Inc..
| Report Number | 1924066-2019-00001 |
| MDR Report Key | 8927563 |
| Report Source | HEALTH PROFESSIONAL |
| Date Received | 2019-08-23 |
| Date of Report | 2019-08-23 |
| Date of Event | 2019-07-23 |
| Date Mfgr Received | 2019-07-24 |
| Device Manufacturer Date | 1999-01-01 |
| Date Added to Maude | 2019-08-23 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | OTHER HEALTH CARE PROFESSIONAL |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | JON STILLMAN |
| Manufacturer Street | 1720 SUBLETTE AVE. |
| Manufacturer City | ST. LOUIS MO 63110 |
| Manufacturer Country | US |
| Manufacturer Postal | 63110 |
| Manufacturer Phone | 3147712400 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | LIFE SUPPORT PRODUCTSOXYGEN REGULATOR |
| Generic Name | OXYGEN PRESSURE REGULATOR |
| Product Code | CAN |
| Date Received | 2019-08-23 |
| Model Number | L270-050 |
| Catalog Number | L270-050 |
| Lot Number | 28167 |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | ALLIED HEALTHCARE PRODUCTS, INC. |
| Manufacturer Address | 1720 SUBLETTE AVE ST. LOUIS MO 63110 US 63110 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 1. Hospitalization | 2019-08-23 |