BEUDAMED
    FDA Adverse Event Other Summary report: N

    FLURO-ETHYL SKIN REFRIGERENTGEBAUER'S ETHYL CHLORIDE

    MDR report key: 527984 · Received May 11, 2004

    Report

    Report Number
    527984
    Event Type
    Other
    Date Received
    May 11, 2004
    Date of Event
    April 1, 2004
    Report Date
    April 1, 2004
    Manufacturer
    GEBAUER CO
    Product Code
    MLY
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    A MD (MEDICAL DOCTOR) APPLIED ETHYL CHLORIDE (LOCAL ANESTHESIA) SPRAY TO PT'S FOREHEAD. ONCE THE AREA DRIED, THE PHYSICIAN TURNED ON AN ELECTRIC CAUTERY DEVICE TO I&D (INCISION AND DRAINAGE) A BOIL-LIKE ABSCESS. THE PT'S SYNTHETIC HAIR CAUGHT ON FIRE. THE FIRE WAS DOUSED BY A BLANKET AND NORMAL SALINE WAS USED TO SATURATE THE PT'S HEAD. A FIRST DEGREE BURN WAS SUSTAINED ON THE TOP OF THE PT'S EAR.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 FLURO-ETHYL SKIN REFRIGERENTGEBAUER'S ETHYL CHLORIDE TOPICAL ANESTHETIC SKIN REFRIGERANT MLY GEBAUER CO * *
    2 BATTERY OPERATED CAUTERIES CAUTERY HQP ABCO DEALERS, INC * *

    Patients

    Seq Age Sex Outcome Treatment
    1 13 YR Other ON PATIENT: NO OTHER "DEVICE, FLAMMABLE TOPICAL| CAUTERY FOR I&AMP, D OF ABSCESS OTHER DEVICES IN| ANESTHESIA SPRAY, ANTIBIOTICS.