inforMED
InjuryPCM

ETANK

Received May 17, 2024 · Event occurred May 1, 2024

Report MW5155131 · MDR key 19353545

Device

Generic name

Portable Liquid Oxygen Unit Stand

Model number

PX-8700-1W

Patient

Male

  • Partial thickness (Second Degree) Burn
  • Partial thickness (Second Degree) Burn

Narrative

Description of Event or Problem

PERSON SMOKED A CIGARETTE WHILE OXYGEN IN USE RESULTING IN SECOND DEGREE BURNS TO THE NOSTRILS, UPPER LIP MOUTH AND DIGIT OF HAND. DELAY OBTAINING EQUIPMENT INFORMATION FROM STATESERV. THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).