BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MC84

    MDR report key: 42676 · Received October 15, 1996

    Report

    Report Number
    2515872-1996-00001
    Event Type
    Injury
    Date Received
    October 15, 1996
    Date of Event
    August 6, 1996
    Report Date
    September 25, 1996
    Manufacturer
    DEVILBISS HEALTH CARE, INC.
    Product Code
    CAW
    Report Source
    Manufacturer report
    Reporter Location
    WI, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PT WAS USING AN OXYGEN CONCENTRATOR WHEN HE AWOKE TO A "BALL OF FLAME" AND RECEIVED 1ST DEGREE BURNS ON HIS FACE AND LEFT HAND.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MC84 OXYGEN CONCENTRATOR CAW DEVILBISS HEALTH CARE, INC. MC84DS *

    Patients

    Seq Age Sex Outcome Treatment
    1 63 YR Required Intervention