BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNK

    MDR report key: 1141072 · Received August 29, 2008

    Report

    Report Number
    1825511-2008-00012
    Event Type
    Injury
    Date Received
    August 29, 2008
    Date of Event
    July 28, 2008
    Report Date
    July 28, 2008
    Manufacturer
    PLAINFIELD-LOX-RX
    Product Code
    CAW
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Occupation
    PATIENT

    Narratives

    Additional Manufacturer Narrative · 1

    COVIDIEN'S USER MANUALS, WARN, "DO NOT TOUCH LIQUID OXYGEN OR PARTS THAT HAVE BEEN IN CONTACT WITH LIQUID OXYGEN. LIQUID OXYGEN IS EXTREMELY COLD (-297 DEGREES FAHRENHEIT/-183 DEGREES CELSIUS). WHEN TOUCHED, LIQUID OXYGEN, OR PARTS OF THE EQUIPMENT THAT HAVE BEEN CARRYING LIQUID OXYGEN, CAN FREEZE SKIN AND BODY TISSUE."

    Description of Event or Problem · 1

    A PATIENT REPORTED THAT AFTER FILLING HIS DEVICE HIS HAND CAME INTO CONTACT WITH LIQUID OXYGEN AND WAS BURNED. THE PATIENT REQUESTED ADVICE ON HOW TO TREAT THE BURN. HE WAS ADVISED TO SEEK MEDICAL ATTENTION. THE PATIENT REFUSED TO PROVIDE HIS NAME OR CONTACT INFORMATION. THE MODEL AND SERIAL NUMBER OF THE DEVICE ARE NOT KNOWN.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNK UNK CAW PLAINFIELD-LOX-RX UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 Required Intervention