BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    ISOTHERMAL CUSTOM ADULT RESPIRATORY CIRCUIT

    MDR report key: 14853 · Received March 18, 1994

    Report

    Report Number
    14853
    Event Type
    Malfunction
    Date Received
    March 18, 1994
    Date of Event
    March 7, 1994
    Report Date
    March 18, 1994
    Manufacturer
    PHARMASEAL DIV. BAXTER HEALTHCARE CORP.
    Product Code
    BZO
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    RESPIRATORY THERAPIST

    Narratives

    Description of Event or Problem · 1

    FIRE IN BREATHING CIRCUIT TUBING AND WIRES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ISOTHERMAL CUSTOM ADULT RESPIRATORY CIRCUIT BREATHING CIRCUIT BZO PHARMASEAL DIV. BAXTER HEALTHCARE CORP. 1704-H07 F 3N15121 00158

    Patients

    Seq Age Sex Outcome Treatment
    1 40 YR