BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ND:YAG LASER

    MDR report key: 1173327 · Received September 25, 2008

    Report

    Report Number
    1173327
    Event Type
    Injury
    Date Received
    September 25, 2008
    Date of Event
    April 4, 2008
    Report Date
    September 22, 2008
    Manufacturer
    HOYA CONBIO MEDICAL AND DENTAL LASERS
    Product Code
    GEX
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DURING A LASER SURGICAL PROCEDURE TO REMOVE LESIONS FROM THE PATIENT'S FACE, A FIRE ERUPTED AND THE PATIENT'S NASAL CANNULA BEGAN TO BURN AROUND THE PATIENT'S NOSE. THE SURGEON REMOVED THE BURNING NASAL CANNULA FROM THE PATIENT AND THREW IT ON THE FLOOR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ND:YAG LASER LASER, SURGICAL GEX HOYA CONBIO MEDICAL AND DENTAL LASERS MEDLITE IV N/A

    Patients

    Seq Age Sex Outcome Treatment
    1 15 YR Hospitalization| R