BEUDAMED
    FDA Adverse Event Death Summary report: N

    KAZ

    MDR report key: 1667477 · Received April 21, 2010

    Report

    Report Number
    1314800-2010-00018
    Event Type
    Death
    Date Received
    April 21, 2010
    Date of Event
    February 13, 2007
    Report Date
    April 20, 2010
    Manufacturer
    KAZ, INC.
    Product Code
    IRT
    PMA / PMN Number
    EXEMPT
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    MD, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Description of Event or Problem · 1

    THE CONSUMER, AN (B) (6) WOMAN, WITH POST-POLIO SYNDROME AND LIMITED ABILITY TO WALK OR STAND, WAS PUT ON A HEATING PAD BY THE NURSING HOME AIDE AND LEFT ON HER OWN. THIS WAS CONTRARY TO HOW A HEATING PAD SHOULD BE USED PER ITS DIRECTIONS OF USE. DUE TO THE CONSUMER'S HEALTH, SHE WAS UNABLE TO REMOVE HERSELF FROM THE FIRE THAT ENSUED AND SUCCUMBED TO HER INJURIES. THE FIRE MARSHAL AT THE SCENE REPORTED THAT THERE WAS NO CLEAR INDICATION THAT THE FIRE STARTED DUE TO THE HEATING PAD OR A DEFECT IN THE POWER CORD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KAZ HEATING PAD IRT KAZ, INC. UNK NA

    Patients

    Seq Age Sex Outcome Treatment
    1 85 YR Death