BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    FISHER & PAYKEL

    MDR report key: 2171891 · Received October 7, 2006

    Report

    Report Number
    2171891
    Event Type
    Malfunction
    Date Received
    October 7, 2006
    Date of Event
    September 25, 2006
    Report Date
    October 5, 2006
    Manufacturer
    FISHER PAYKEL
    Product Code
    BZO
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    VENTILATOR TUBING CIRCUIT CONNECTED TO HEATER/HUMIDIFIER CAUGHT FIRE AFTER OBSERVED TO GLOW, THEN SPARK FIRE WAS APPROXIMATELY 1 FOOT FROM PT, WAS PUT OUT QUICKLY WITHOUT APPARENT HARM TO PT. FIRE WAS IN EXPIRATORY TUBING.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FISHER & PAYKEL VENTILATOR CIRCUIT - DUAL HEATED BZO FISHER PAYKEL

    Patients

    Seq Age Sex Outcome Treatment
    1 52 YR FISHER PAYKEL HEATER HUMIDIFIER (B)(4)| PURITAN BENNETT 840 VENT