BEUDAMED
    FDA Adverse Event Death Summary report: N

    EASY AIR

    MDR report key: 1875991 · Received October 7, 2010

    Report

    Report Number
    2523148-2010-00004
    Event Type
    Death
    Date Received
    October 7, 2010
    Date of Event
    August 24, 2010
    Report Date
    October 7, 2010
    Manufacturer
    PRECISION MEDICAL INC.
    Product Code
    BTI
    Report Source
    Manufacturer report
    Reporter Location
    GA, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    AT THIS TIME WE DON'T KNOW WHAT OCCURRED TO CAUSE THE EVENT. THE DEVICE WAS SOLD TO: (B)(6); SHIP DATE: 12/08/2008.

    Description of Event or Problem · 1

    HOUSE FIRE CAUSED BY MEDICAL EQUIPMENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 EASY AIR AIR COMPRESSOR BTI PRECISION MEDICAL INC. PM15

    Patients

    Seq Age Sex Outcome Treatment
    1 Death