BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    PRECSION MEDICAL INC.

    MDR report key: 3381555 · Received September 4, 2013

    Report

    Report Number
    2523148-2013-00004
    Event Type
    Malfunction
    Date Received
    September 4, 2013
    Date of Event
    August 14, 2013
    Report Date
    September 4, 2013
    Manufacturer
    PRECISION MEDICAL INC.
    Product Code
    NFB
    Report Source
    Manufacturer report
    Reporter Location
    FL, US
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    REPORTED THAT THERE WAS A FIRE WITH A CONSERVER. NO REPORTABLE INJURIES, BUT FIRE AND SMOKING DAMAGE, TO DWELLING. PHOTOS OF CONSERVER WERE SENT, SHOWING FIRE DAMAGE, BUT THE CONSERVER AND TANKS HAVE NOT BEEN INSPECTED BY US.

    Description of Event or Problem · 1

    FIRE INVOLVING A OXYGEN CONSERVER AND OXYGEN TANKS. PATIENT (B)(6) WAS SLIGHTLY INJURED, DID NOT REQUIRE MEDICAL ATTENTION. TRAILER HAD FIRE AND SMOKE DAMAGE. AT THIS TIME UNKNOWN CAUSE FOR THE FIRE, EVIDENCE INDICATES POSSIBLE SMOKING BY PATIENT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    439353 PRECSION MEDICAL INC. OXYGEN CONSERVER NFB PRECISION MEDICAL INC. EP5 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNK Required Intervention