FDA.reportPublic FDA data

MAUDE MDR 331190

MDR report key
331190
Report number
331190
Event key
0
Event type
3
Date of event
2001-04-30
Date received
2001-05-07
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
2
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Report source
U
Manufacturer link flag
N

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1LINVATECOSCILLATING SAWLINVATECHSO5071-002**NR

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12001-05-0701. O

Event Narratives#

D

Patient 1

BATTERY PACK CONNECTED TO OSCILLATOR SAW BEGAN SMOKING. REMOVED FROM OR ROOM TO HALLWAY-SMOKING INCREASED. SPRAYED WITH ABC EXTINGUISHER.