BEUDAMED
    FDA Adverse Event Death Summary report: N

    UNK

    MDR report key: 9811078 · Received March 5, 2020

    Report

    Report Number
    9811078
    Event Type
    Death
    Date Received
    March 5, 2020
    Date of Event
    January 25, 2020
    Report Date
    March 5, 2020
    Manufacturer
    UNK
    Product Code
    CAT
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    FL, US
    Reporter Occupation
    501

    Narratives

    Description of Event or Problem · 1

    SMOKING A CIG IN BED IN HER ROOM, WHILE O2 IN USE. CAUSED FULL THICKNESS BURNS TO 68% OF HER BODY.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    257470 UNK UNK CAT UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 88 YR Death| H FULL ELECTRIC HOMECARE BED | NEBULIZER COMPRESSOR