BEUDAMED
    FDA Adverse Event Other Summary report: N

    BAXTER AIRLIFE

    MDR report key: 187504 · Received September 14, 1998

    Report

    Report Number
    187504
    Event Type
    Other
    Date Received
    September 14, 1998
    Date of Event
    September 1, 1998
    Report Date
    September 2, 1998
    Manufacturer
    ALLEGIANCE/BAXTER AIRLIFE
    Product Code
    CAT
    Report Source
    User Facility report
    Reporter Location
    CT, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    FIRE DISCOVERED IN PT'S ROOM. PRELIMINARY INVESTIGATION BY OUTSIDE AUTHORITIES (FIRE & POLICE) INDICATE THAT FIRE WAS ACCIDENTAL AND CAUSED BY THE ATTEMPT OF THE PT TO LIGHT A CIGARETTE WHILE ON OXYGEN. PT EXPIRED. BURNS INVOLVED LT ARM, MINOR FACIAL AND ABDOMINAL BURNS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BAXTER AIRLIFE NASAL CANNULA CAT ALLEGIANCE/BAXTER AIRLIFE * *

    Patients

    Seq Age Sex Outcome Treatment
    1 60 YR Other NO MALFUNCTION.| INSPECTED, NO MALFUNCTION. WALL PANELS INSPECTED,| PT WAS ON OXYGEN. IVAC MACHINE AND PT'S BED