BEUDAMED
    FDA Adverse Event Summary report: N

    HILL-ROM AIR SHIELDS

    MDR report key: 274137 · Received April 19, 2000

    Report

    Report Number
    MW1018701
    Date Received
    April 19, 2000
    Date of Event
    March 28, 2000
    Report Date
    April 18, 2000
    Manufacturer
    HILL-ROM AIR-SHIELDS
    Product Code
    FMT
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    A 5-6" FLAME NOTED COMING FROM AREA WHERE THE POWER CORD ENTERS INTO WARMER UNIT. FLAMES STOPPED AS SOON AS POWER WAS DISCONNECTED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HILL-ROM AIR SHIELDS INFANT WARMER FMT HILL-ROM AIR-SHIELDS PM 78-1 *

    Patients

    Seq Age Sex Outcome Treatment
    1 0 DAY