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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: OXYGEN HOSE; TUBING, PRESSURE AND ACCESSORIES
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OXYGEN HOSE; TUBING, PRESSURE AND ACCESSORIES Back to Search Results
Device Problems Break (1069); Burst Container or Vessel (1074)
Patient Problems Pain (1994); Chemical Exposure (2570); Superficial (First Degree) Burn (2685); Skin Inflammation/ Irritation (4545); Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available (4581)
Event Date 09/16/2022
Event Type  malfunction  
Event Description
This did not involve a patient, but an employee of the hospital.While exchanging the empty m cylinder in ambulance, the hose burst open releasing the full psi from the tank into face, neck, ear, and upper body.Staff member went to ed for evaluation and treatment.Employee did come in contact from hose break to chem/heat/electricity.Employee reported soreness and sustained minor burns, irritation to the skin on her face and neck, as well as whiplash.Staff member is back at work.Air and o2 lines do not require replacement unless they become visibly damaged.The hose appears to be caused by weakened or damaged high-pressure line which caused the line to burse.
 
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Brand Name
OXYGEN HOSE
Type of Device
TUBING, PRESSURE AND ACCESSORIES
MDR Report Key15743544
MDR Text Key303230638
Report Number15743544
Device Sequence Number1
Product Code BYX
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source User Facility
Reporter Occupation Risk Manager
Type of Report Initial
Report Date 11/02/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received11/07/2022
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? Yes
Date Report Sent to FDA11/02/2022
Event Location Hospital
Date Report to Manufacturer11/07/2022
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Patient Sequence Number1
Patient Outcome(s) Other;
Patient SexFemale
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