UNK

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-03-05 for UNK manufactured by Unk.

Event Text Entries

[182725302] Smoking a cig in bed in her room, while o2 in use. Caused full thickness burns to 68% of her body.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9811078
MDR Report Key9811078
Date Received2020-03-05
Date of Report2020-03-05
Date of Event2020-01-25
Date Facility Aware2020-01-25
Report Date2020-03-05
Date Reported to FDA2020-03-05
Date Added to Maude2020-03-10
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameUNK
Generic NameUNK
Product CodeCAT
Date Received2020-03-05
OperatorLAY USER/PATIENT
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerUNK
Manufacturer AddressUNK UNK


Patients

Patient NumberTreatmentOutcomeDate
101. Death; 2. Hospitalization 2020-03-05

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