BEUDAMED
    FDA Adverse Event Other Summary report: N

    HEALTHDYNE

    MDR report key: 139995 · Received December 18, 1997

    Report

    Report Number
    139995
    Event Type
    Other
    Date Received
    December 18, 1997
    Date of Event
    December 11, 1997
    Report Date
    December 17, 1997
    Manufacturer
    HEALTHDYNE
    Product Code
    CAW
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    WA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    MASTER OF SOCIAL WORK (MSW) AT PT HOME. PT SMOKING W/O2 ON. MSW WARNED PT THAT IT IS NOT SAFE TO SMOKE W/O2 ON (AS HAVE ALL STAFF IN THE HOME). PT REMOVED O2 FROM FACE (NASAL CANNULA) AND PUT CIGARETTE UP TO NOSE CANNULA, WHICH IGNITED. SPOUSE SHUT OFF O2, TOOK TUBING OUTSIDE. MSW PUT OUT FIRE IN PT CHAIR AND REMOVED BURNING TOWEL & WASTEBASKET OUTSIDE. PT VERY EMBARRASSED BY EVENT. AGREES TO NOT SMOKE WITH O2 ON AT LEAST WHILE STAFF ARE PRESENT. TALKED W/SPOUSE ABOUT HER PERSONAL SAFETY IF SPOUSE SMOKES W/O2 ON.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HEALTHDYNE OXYGEN CONCENTRATOR CAW HEALTHDYNE BX3000 *

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR Other PEG TUBE W/INTERMITTENT TUBE FEEDINGS.