BEUDAMED
    FDA Adverse Event Other Summary report: N

    OXYGEN CONCENTRATOR

    MDR report key: 36922 · Received September 6, 1996

    Report

    Report Number
    MW1009870
    Event Type
    Other
    Date Received
    September 6, 1996
    Date of Event
    August 6, 1996
    Report Date
    August 19, 1996
    Manufacturer
    DEVILBISS HEALTH CARE, INC.
    Product Code
    CAW
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WI, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT STATED HE WOKE UP WHILE FALLING OUT OF HIS ARM CHAIR INTO A "BALL OF FLAME". PT WAS USING O2 AT 2L/MIN CONTINUOUSLY AS ORDERED AND RECEIVED FIRST DEGREE BURNS TO HIS FACE AND LEFT HAND. FAMILY MEMBER TOLD RPTR THAT PT IS A SMOKER THOUGH PT DENIES, STATING HE HAS QUIT. PT ALSO RECEIVING NURSING CARE FROM LOCAL AGENCY. THEY HAD NOTED SMELL OF SMOKE IN HOME AT EACH VISIT AND HAD TAUGHT PT REGARDING SAFETY HAZARDS. OXYGEN CONCENTRATOR WAS CHECKED BY AN INDEPENDENT ORGANIZATION AND NO DEFECTS WERE FOUND. BOTH CONCENTRATOR AND 50 FT EXTENSION TUBE HAD NO BURN DAMAGE, ONLY CANNULA PRONGS WERE BURNED. PT WAS SEEN AT WALK IN CLINIC, TREATED AND DISCHARGED HOME. EQUIPMENT WAS SWITCHED OUT AND TEACHING WAS REINFORCED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 OXYGEN CONCENTRATOR OXYGEN CONCENTRATOR CAW DEVILBISS HEALTH CARE, INC. MC84DS NA

    Patients

    Seq Age Sex Outcome Treatment
    1 63 YR Other