FDA Adverse Event
Injury
Summary report: N
LIFE SAFETY PRODUCTS (LSP)
MDR report key: 8854596
·
Received August 2, 2019
Report
- Report Number
- MW5088635
- Event Type
- Injury
- Date Received
- August 2, 2019
- Date of Event
- July 21, 2019
- Report Date
- August 1, 2019
- Manufacturer
- ALLIED HEALTHCARE PRODUCTS, INC.
- Product Code
- CAN
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- CT, US
- Reporter Occupation
- EMERGENCY MEDICAL TECHNICIAN
Narratives
Description of Event or Problem · 1
CALLER CALLED TO REPORT THAT ON (B)(6) 2019 IN THE EVENING EMERGENCY MEDICAL SERVICES WAS CALLED TO TRANSPORT A PT TO (B)(6); ON ARRIVAL INTO THE HOSP WITH THE PT ON THE STRETCHER CONNECTED TO OXYGEN BOTTLE, THE EMT NOTICED THAT THE REGULATOR THAT WAS ATTACHED TO THE STRETCHER WAS NOT IN THE ON POSITION. ONCE HE TURNED THE REGULATOR ON, THE DEVICE COMBUSTED INTO FLAMES. THE EMT SUFFERED SECOND DEGREE BURNS TO HIS HAND AND THE PT ON THE STRETCHER HAD MINOR BURNS TO THE TOP HEAD AND HIS HAIR.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 649814 | LIFE SAFETY PRODUCTS (LSP) | REGULATOR, PRESSURE, GAS CYLINDER | CAN | ALLIED HEALTHCARE PRODUCTS, INC. | 270-20 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Life Threatening| O| S |