FDA Adverse Event Death Summary report: N

GENERATOR, OXYGEN, PORTABLE

MDR report key: 11715476 · Received April 23, 2021

Report

Report Number
MW5100940
Event Type
Death
Date Received
April 23, 2021
Date of Event
February 2, 2019
Report Date
April 20, 2021
Product Code
CAW
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
MO, US
Reporter Occupation
PATIENT FAMILY MEMBER OR FRIEND

Narratives

Description of Event or Problem · 1

VUSE E CIGARETTE EXPLODED ON MY HUSBAND WHICH RESULTED IN 2ND AND 3RD DEGREE BURNS TO 97% OF HIS BODY, WHICH CAUSED HIS DEATH. MY HUSBAND HAD COPD AND WAS OXYGEN DEPENDENT. WARNINGS SHOULD BE USED TO PREVENT USE OF E CIGS WHEN PERSON IS OXYGEN DEPENDENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
609991 GENERATOR, OXYGEN, PORTABLE GENERATOR, OXYGEN, PORTABLE CAW

Patients

Seq Age Sex Outcome Treatment
1 59 YR Death