BEUDAMED
    FDA Adverse Event Injury Summary report: N

    HEATED WITH BREATHING CIRCUIT

    MDR report key: 1192643 · Received October 10, 2008

    Report

    Report Number
    1192643
    Event Type
    Injury
    Date Received
    October 10, 2008
    Date of Event
    August 25, 2008
    Report Date
    October 10, 2008
    Manufacturer
    WESTMED, INC.
    Product Code
    CAI
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL, US

    Narratives

    Description of Event or Problem · 1

    I WAS FINISHING THE DRAPING OF MY PATIENT FOR EPS PROCEDURE, I HEARD A MUFFLED POP AND OBSERVERD THE ANESTHESIA CIRCUIT IN FLAME. I IMMEDIATELY PUSHED THE CIRCUIT AWAY FROM THE PATIENT,THE FLAME WAS EXTINGUISHED AND STOMPED OUT ON THE FLOOR, PT WAS NOT CONNECTED TO CIRCUIT, WAS ON NASAL CANNULA OXYGEN. OXYGEN WAS BEING RUN THROUGH CIRCUIT . NO HARM TO PT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HEATED WITH BREATHING CIRCUIT NASAL CANNULA CAI WESTMED, INC. 200 *

    Patients

    Seq Age Sex Outcome Treatment
    1 74 YR Required Intervention