FDA Adverse Event Injury Summary report: N

PRECISION MEDICAL INC.

MDR report key: 5091427 · Received September 14, 2015

Report

Report Number
2523148-2015-00002
Event Type
Injury
Date Received
September 14, 2015
Date of Event
August 4, 2014
Report Date
September 8, 2015
Manufacturer
PRECISION MEDICAL, INC.
Product Code
NFB
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
NM, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THIS EVENT OCCURRED ON (B)(6) 2014. PRECISION MEDICAL INC WAS NOTIFIED ON SEPTEMBER 2ND, 2015. THE PRODUCT INVOLVED WAS CONFISCATED BY THE FIRE MARSHALL AT THE TIME OF THE EVENT, AND HAS NOT BEEN EXAMINED BY PRECISION MEDICAL. THE EVENT OCCURRED IN THE PATIENT'S HOME. THE HUSBAND IS ON OXYGEN, USING THE PRECISION MEDICAL OXYGEN CONSERVER. AT THE TIME OF THE EVENT, THE HUSBAND WAS IN THE KITCHEN, AN EXPLOSION OCCURRED, INJURING BOTH THE HUSBAND AND WIFE.

Description of Event or Problem · 1

HUSBAND ON OXYGEN, THERE WAS AN EXPLOSION INJURING BOTH THE HUSBAND AND WIFE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
607843 PRECISION MEDICAL INC. OXYGEN CONSERVER NFB PRECISION MEDICAL, INC. 198705

Patients

Seq Age Sex Outcome Treatment
1 Other