BEUDAMED
    FDA Adverse Event Other Summary report: N

    NARKOMED

    MDR report key: 445430 · Received February 28, 2003

    Report

    Report Number
    2517967-2003-00023
    Event Type
    Other
    Date Received
    February 28, 2003
    Date of Event
    January 28, 2003
    Report Date
    February 28, 2003
    Manufacturer
    DRAEGER MEDICAL, INC.
    Product Code
    BSZ
    Removal / Correction Number
    NA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    IT WAS REPORTED THAT: A PEDIATRIC NASOGASTRIC TUBE WAS BEING USED AS A NASAL CANNULA TO OXYGENATE A PT DURING A FACE LIFT PROCEDURE. THE NG TUBE WAS PUT ONTO THE PT'S CHEST. THE SURGEON WAS USING AN ELECTROSURGICAL DEVICE AND NOTED THAT THE DRAPING AND NG TUBE OXYGEN SUPPLY LINE CAUGHT FIRE. THE FIRE WAS EXTINGUISHED. THE NG TUBE OXYGEN SUPPLY LINE WAS REPLACED AND THE CASED WAS COMPLETED. THE PT RECEIVED 2ND DEGREE BURNS TO THEIR CHEST AND LEFT ARM. A SCRUB TECHNICIAN RECEIVED TWO BLISTERS ON THEIR HAND.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 NARKOMED ANESTHESIA MACHINE BSZ DRAEGER MEDICAL, INC. 3 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 66 YR Other PEDIATRIC NASOGASTRIC TUBE, BOVIE ELECTRO-SURGICAL| DEVICE.