BEUDAMED
    FDA Adverse Event Injury Summary report: N

    WET-FIELD

    MDR report key: 17430485 · Received July 31, 2023

    Report

    Report Number
    1211998-2023-00053
    Event Type
    Injury
    Date Received
    July 31, 2023
    Date of Event
    June 8, 2022
    Report Date
    July 28, 2023
    Manufacturer
    BEAVER-VISITEC INTERNATIONAL, INC.
    Product Code
    HQP
    UDI-DI
    30886158010266
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AS
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 0

    A CUSTOMER ALLEGED THAT A FIRE WAS IGNITED BY THE CAUTERY. WHILE OXYGEN WAS BEING USED AND THE DRAPE APPEARS TO HAVE CAUGHT ON FIRE BURNING THE PATIENST FACE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    890467 WET-FIELD BVI, ACCU-TEMP HIGH TEMPERATURE CAUTERY BX/10 HQP BEAVER-VISITEC INTERNATIONAL, INC. 6031864 30886158010266

    Patients

    Seq Age Sex Outcome Treatment
    1 Unknown Other