BEUDAMED
    FDA Adverse Event Other Summary report: N

    HILLROM

    MDR report key: 117618 · Received September 2, 1997

    Report

    Report Number
    117618
    Event Type
    Other
    Date Received
    September 2, 1997
    Date of Event
    August 11, 1997
    Report Date
    September 1, 1997
    Manufacturer
    HILLROM
    Product Code
    FSS
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    NE, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    PT WAS HAVING HIS TRACHEOSTOMY TUBE CHANGED. EXAM LIGHT USED DURING THE PROCEDURE OVERHEATED AND CAUSED THE PT THIRD DEGREE BURNS TO THE CHEST. BIOMEDICAL ENGINEERING EXAMINED THE LAMP AND FOUND THAT THE DIFFUSER WAS MISSING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HILLROM EXAM 965 PLUS FSS HILLROM EXAM PLUS 965 *

    Patients

    Seq Age Sex Outcome Treatment
    1 75 YR Other BURN TREATED WITH SILVERDINE OINTMENT DAILY.