BEUDAMED
    FDA Adverse Event Death Summary report: N

    NARKOMED

    MDR report key: 409577 · Received August 8, 2002

    Report

    Report Number
    2517967-2002-00058
    Event Type
    Death
    Date Received
    August 8, 2002
    Date of Event
    July 19, 2002
    Report Date
    August 8, 2002
    Manufacturer
    DRAEGER MEDICAL, INC.
    Product Code
    BSZ
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT: THE SURGEON WAS PERFORMING A TRACHEOSTOMY AND WAS USING AN ELECTROSURGICAL DEVICE. THE PT WAS INTUBATED AND 100% OXYGEN WAS BEING DELIVERED. THE ENDOTRACHEAL TUBE AND PT BREATHING CIRCUIT CAUGHT FIRE. IT WAS REPORTED THAT THE PT ARRESTED AND SHORTLY AFTER EXPIRED. THE POLICE AND CORONER WERE CALLED IN TO INVESTIGATE.

    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 71 YR Death FORCE 2 ELECTROSURGICAL GENERATOR #F7D 31948T -| MANUFACTURED BY MALLINCKRODT.| MANUFACTURED BY VALLEY LAB AND ENDOTRACHEAL TUBE -