BEUDAMED
    FDA Adverse Event Death Summary report: N

    PRECISION MEDICAL POWER VAC

    MDR report key: 673661 · Received February 8, 2006

    Report

    Report Number
    2523148-2006-00002
    Event Type
    Death
    Date Received
    February 8, 2006
    Date of Event
    January 26, 2006
    Report Date
    February 7, 2006
    Manufacturer
    PRECISION MEDICAL INC
    Product Code
    BTA
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    AZ, US
    Reporter Occupation
    INVALID DATA

    Narratives

    Description of Event or Problem · 1

    PATIENT'S DAUGHTER IS ALLEGING THAT THE SUCTION DEVICE WAS NOT WORKING CORRECTLY, AND THIS CONTRIBUTED TO THE PATIENT'S DEATH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 PRECISION MEDICAL POWER VAC PORTABLE SUCTION DEVICE BTA PRECISION MEDICAL INC PM63 *

    Patients

    Seq Age Sex Outcome Treatment
    1 * Death