BEUDAMED
    FDA Adverse Event Other Summary report: N

    AIR LIFE 02 NASAL CANNULA

    MDR report key: 25976 · Received August 26, 1995

    Report

    Report Number
    25976
    Event Type
    Other
    Date Received
    August 26, 1995
    Date of Event
    August 9, 1995
    Report Date
    August 19, 1995
    Manufacturer
    BAXTER HEALTHCARE CORP
    Product Code
    CAT
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    AFTER PT VOLUNTARILY RELINQUISHED SMOKING MATERIALS ON 8/8/95. PT FOUND AND LIT A CIGARETTE WHILE WEARING NASAL CANNULA WITH OXYGEN. THE NASAL CANNULA IGNITED CAUSING A BURST OF FLAMES WHICH THE PT EXTINGUISHED WITH HER HANDS. PT SUSTAINED FIRST DEGREE BURNS AT BASE OF NOSE, SECOND DEGREE BURN TO UPPER LIP, FIRST DEGREE BURN TO LEFT PALM. THE PT WAS SEEN AND TREATED IN THE ER. THIS WAS NOT A MALFUNCTION OF EQUIPMENT. PT NEGLECTED POLICY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 AIR LIFE 02 NASAL CANNULA NASAL CANNULA CAT BAXTER HEALTHCARE CORP

    Patients

    Seq Age Sex Outcome Treatment
    1 76 YR Other