BEUDAMED
    FDA Adverse Event Death Summary report: N

    NARKOMED

    MDR report key: 301054 · Received October 20, 2000

    Report

    Report Number
    2517967-2000-00055
    Event Type
    Death
    Date Received
    October 20, 2000
    Date of Event
    October 9, 2000
    Report Date
    October 20, 2000
    Manufacturer
    DRAEGER MEDICAL, INC.
    Product Code
    BSZ
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    NJ, US
    Reporter Occupation
    OTHER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT DURING A TRACHEOSTOMY CASE ON A MALE PT, THE ENDOTRACHEAL TUBE CAUGHT FIRE. THE PT EXPIRED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NARKOMED ANESTHESIA MACHINE BSZ DRAEGER MEDICAL, INC. 2C NA

    Patients

    Seq Age Sex Outcome Treatment
    1 70 YR Death 1. BOVIE. 2. ENDOTRACHEAL TUBE.