BEUDAMED
    FDA Adverse Event Injury Summary report: N

    VALLEYLAB

    MDR report key: 2945449 · Received January 28, 2013

    Report

    Report Number
    2945449
    Event Type
    Injury
    Date Received
    January 28, 2013
    Date of Event
    January 23, 2013
    Report Date
    January 28, 2013
    Manufacturer
    COVIDIEN, FORMERLY VALLEYLAB, A DIVISION OF TYCOHEALTHCARE
    Product Code
    GEI
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    MI, US

    Narratives

    Description of Event or Problem · 1

    FIRE IN THE ENDOTRACHIAL TUBE WAS QUICKLY CAUGHT BY THE SURGEON AND EXTINGUISHED. THE OXYGEN LEVELS WERE DECREASED TO AVOID SUBSEQUENT PROBLEMS.WHAT WAS THE ORIGINAL INTENDED PROCEDURE?TRACHEOSTOMY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    38185 VALLEYLAB ELECTROSURGICAL, PENCIL, ACTIVE ELECTRODE GEI COVIDIEN, FORMERLY VALLEYLAB, A DIVISION OF TYCOHEALTHCARE * *

    Patients

    Seq Age Sex Outcome Treatment
    1 85 YR Required Intervention YES OXYGEN