Product related deaths

PFD Category
Reports: 131 Areas: 54 Earliest: Oct 2013 Latest: 5 Aug 2025

77% response rate (above 63% average). 31% of classified responses show concrete action taken. Reports rose 150% from 6 (2023) to 15 (2024).

PFD Reports
131 results
Rosemarie Dees
Historic (No Identified Response)
2016-0259 19 Jul 2016 London Inner (South)
Resuscitation Council (UK)
Concerns summary (AI summary) An undetected foreign body airway obstruction could inhibit the use of a supraglottic airway, suggesting laryngoscopy should be a prerequisite for SGA insertion.
Daniel Paylor
Historic (No Identified Response)
2016-0353 1 Jul 2016 Wiltshire and Swindon
Medicine and Health Care Products Regul… Home Secretary, Home Office Member of Parliament for Maidenhead, Ho…
Concerns summary (AI summary) Ambulance services exhibit inadequate regulatory control, safeguards, and auditing for drugs compared to hospitals, lacking sufficient peer supervision and requiring only single-person authority for drug access.
Jonathan Weatherley
Historic (No Identified Response)
2016-0206 2 Jun 2016 Essex
Trading Standards
Concerns summary (AI summary) Recall notices for the products were inadequate, failing to highlight all known problems and affected items, necessitating a comprehensive, widely distributed new recall.
Thomas Harris
Historic (No Identified Response)
2016-wp25258 28 Apr 2016 Kent Central and South East
Right Honourable Theresa May MP
Nadine Brookes-Walker
All Responded
2015-0463 16 Nov 2015 Manchester (North)
Teva UK Ltd
Concerns summary (AI summary) Packaging for Fentanyl patches may not adequately convey the severe risks associated with using damaged patches, potentially leading to patient misuse.
Noted (AI summary) Takeda believes the existing patient information leaflet adequately addresses the issue of damaged patches, and they have requested a review to determine if changes are needed; the MHRA also reviewed product information for fentanyl patches in April 2015.
Christianne Shepherd
Historic (No Identified Response)
2015-0338 18 Sep 2015 West Yorkshire (East)
ABTA – The Travel Association Louis Group including the Louis Corcyra… The Federation of Tour Operators +4 more
Concerns summary (AI summary) The report calls for a publicly accessible central register for tour operators to record hotel safety information, improved collaboration between tour operators regarding health and safety, increased awareness of carbon monoxide dangers, and more qualified personnel conducting health and safety checks.
Steven Curtis
Historic (No Identified Response)
23 Jun 2015 Oxfordshire
Derbyshire Trading Standards Division
Concerns summary (AI summary) There are safety concerns regarding Maplin N19KJ telescopic ladders, with 43,000 sold, warranting investigation into a potential catastrophic failure and the origin of the accident ladder.
Irene Hamilton-Parker
All Responded
2015-0197 20 May 2015 Staffordshire (South)
Department of Business Innovation and S…
Concerns summary (AI summary) Clothing made of easily flammable man-made fabrics poses a risk, and steps should be considered to reduce the flammability of manufactured or imported clothing.
Noted (AI summary) The Department for Business Innovation and Skills acknowledges concerns about clothing flammability but states that most clothing is flammable and reducing it would require flame retardants with their own risks. They don't believe there's sufficient evidence to extend flammability requirements to other types of clothing but will keep the issue under review.
Steven Bottomley
Unknown
2015-0186 14 May 2015 West Yorkshire (West)
Concerns summary (AI summary) A window lacked a safety device, and remedial action is required to safeguard similar windows in properties to prevent recurrence in line with building regulations.
Stephen Myers
Partially Responded
2015-0150 15 Apr 2015 County Durham & Darlington
Department of Business, Innovations and… General Product Safety Department
Concerns summary (AI summary) A product containing isopropyl nitrite, misused by inhalation, has inadequate labelling that fails to comply with current safety regulations (CLP) regarding hazards and warnings.
Noted (AI summary) The Department for Business, Innovation and Skills clarifies that responsibility for labelling of "poppers" rests with the Health and Safety Executive and enforcement with local Trading Standards. It states that General Product Safety Regulations would not have been breached in this case as instructions for use were not followed and the Home Office tackles new psychoactive substances.
Jason Houghton
All Responded
2015-0127 30 Mar 2015 Manchester (West)
Home Office
Concerns summary (AI summary) The unregulated online supply and international importation of Class A drugs, specifically Diacetyl Morphine/Heroin in pill form via postal systems, poses a significant risk of future deaths.
Action Taken (AI summary) The Home Office acknowledges concerns about online drug supply, notes ongoing efforts by law enforcement to close UK-based websites and work with international partners. Since the death, the MHRA closed down the website Wmedipk com.
Joseph Allison
All Responded
2015-0103 23 Mar 2015 London (East)
British Healthcare Trades Association Handicare Accessibility Ltd
Concerns summary (AI summary) Service engineers lack specific training on a known stairlift defect and safety checks. Furthermore, no national safety recall or industry-wide advisory has been issued for the defective Minivator 2000 stairlift.
Action Planned (AI summary) Handicare has adjusted internal processes and training for in-house engineers. It will also raise the issue of sharing safety information with all manufacturers at the next BHTA stairlift section meeting and via letter during the week commencing 15th June 2015. BHTA will remind manufacturer members to continue training to address field safety issues until all products have been traced and necessary action taken. BHTA will recommend that the Health & Safety Executive talk to the MHRA and see if they might tap into the alerting system for alerts regarding products sold into the care sector.
Brenda Leyland
All Responded
2015-0112 20 Mar 2015 Leicester (City & South)
Department of Health and Social Care
Concerns summary (AI summary) Helium gas canisters are freely available in large volumes without purchase controls or modified valves to restrict gas release, posing an uncontrolled risk.
Noted (AI summary) The Department of Health acknowledges the concerns raised about helium gas and suicide, noting ongoing discussions with partners but without specific outcomes to report. They highlight the need to balance helium availability with safety and reference Samaritans' media guidelines.
Sandra Danks
Partially Responded
2014-0525 3 Dec 2014 Teesside
British Oxygen Philips Respironics
Concerns summary (AI summary) An electricity supply interruption to the main oxygen apparatus stopped oxygen provision, as there was no backup system in place to continue oxygen delivery.
Noted (AI summary) BOC states they followed all procedures and contractual obligations, and all equipment was in working order. They see no reason to take further action but will monitor procedures.
Santosh Muthiah
All Responded
2014-0476 5 Nov 2014 London (North)
Association of British Insurers Association of Manufacturers Of Domesti… Beko Plc +9 more
Concerns summary (AI summary) The inability to identify appliance details after severe fire damage hinders accurate defect pattern recognition, and inconsistent information sharing among Fire & Rescue Services impedes product safety investigations.
Noted (AI summary) AMDEA's Technical Manager on Refrigeration together with industry safety specialists prepared a basic proposal for change to the international standard IEC 60335-2-24. This proposal was placed before the BSI committee CPL61 and was accepted as a UK proposal for change at international level in 2014; the UK proposal was accepted by the International Electrotechnical Commission (IEC) meeting in Tokyo. BSI Committees CPL/61 and PEL/33 reviewed the points raised and are submitting a proposal to the International Committee to add a warning about supply cords and portable socket-outlets to relevant appliances, and a new test for non-metallic material covering thermal insulation. The Society explains its role as a professional body for forensic science practitioners, noting that their reports are usually delivered directly to those who engaged them and may be sensitive or confidential. They state that forensic scientists are rarely involved in fire investigations unless they are serious, unexplained or suspicious, and that the fire service and/or police usually investigate. CFOA will engage proactively with DCLG to help develop the future IRS and the ease by which this type of information can be gathered, accessed and disseminated. CFOA will provide guidance to FRS by April 2015 to help ensure that the information provided on IRS is as accurate and meaningful as is possible to facilitate the ease by which DCLG could provide it to TS and manufacturers if they decided to do so. BIS will consider consistency of guidance and sharing of best practice as part of the independent review of consumer product recalls. The potential for a Code of Practice will also be considered as part of the independent review. BIS will continue to support AMDEA's Register my Appliance site.
Eliza Bashir
Partially Responded
2014-0461 24 Oct 2014 Manchester (North)
Central Manchester University Hospitals… Department of Health and Social Care Oldham Metropolitan Borough Council
Concerns summary (AI summary) Concerns focus on easily accessible button batteries in products not classified as toys, lack of national awareness regarding ingestion risks, and medical professionals needing better guidance for such incidents.
Action Planned (AI summary) The Department of Health will share information on button battery risks with health visitors, school nurses, and child health leads at Public Health England's regional centers and will contact the National Social Partnership Forum to raise awareness of the issues.
Hilda Cole
Historic (No Identified Response)
2014-0460 24 Oct 2014 Staffordshire (South)
Care Quality Commission Welbeing
Concerns summary (AI summary) The pendant alarm provider failed to adequately inform customers about additional safety features, specifically the option to link to fire alarms, creating an unaddressed fire risk for vulnerable users.
David Thomson
Historic (No Identified Response)
2014-0447 16 Oct 2014 Liverpool
Department for Business, Innovation and…
Concerns summary (AI summary) E-cigarette batteries charged via universal micro USB ports are at risk of explosion if an incompatible charger supplies the wrong current.
Tiya Chauhan
Partially Responded
2014-0575 29 Sep 2014 London Inner (West)
Department for Education Food Standards Agency Ofsted +1 more
Concerns summary (AI summary) Childcare settings and parents are unaware of the choking risks posed by raw jelly cubes, with packets lacking adequate warnings and supervision during play being insufficient.
Action Planned (AI summary) The Department for Education intends to issue additional guidance to the early years sector in 2015 under the EYFS banner, principally about what constitutes good paediatric first aid provision in settings. This guidance will point out the dangers of using raw jelly in play with young children without sufficient supervision as an example of a choking hazard, and they will review first aid requirements. Ofsted will disseminate the inquest findings to Ofsted and contracted inspectors of EY provisions, ensuring they are aware of the risks of using raw jelly in activities during inspections of EYFS compliance. They are also liaising with the Local Government Association to discuss the report and ensure appropriate warnings are communicated to settings. The Food Standards Agency will forward information about the risks of raw jelly cubes to local authority environmental health services and industry manufacturing/retail trade bodies. They will also forward the coroner's report to the Department of Health for consideration in relation to early years food advice to parents.
Sophie Allen
All Responded
2014-0256 5 Jun 2014 Sunderland
Department for Business Innovation and …
Concerns summary (AI summary) Looped blind cords continue to pose a serious strangulation risk to young children, with existing installations in homes lacking the improved safety features of new standards.
Noted (AI summary) BIS acknowledges the concerns and describes existing campaigns and partnerships promoting blind cord safety led by the British Blind and Shutters Association (BBSA) and the Royal Society for the Prevention of Accidents (ROSPA).
Anthony Lapping
All Responded
2014-0214 8 May 2014 Newcastle Upon Tyne
Indesit Company
Concerns summary (AI summary) Highly flammable insulation material in a Hotpoint fridge freezer caused rapid fire spread, severely reducing escape opportunities and highlighting an urgent need for manufacturing review.
Noted (AI summary) The company outlines the safety standards in place at the time of manufacture and improvements made since. It describes assessments underway to reduce flammability further but describes constraints on introducing an aluminized cardboard covering.
Valerie Hancox
Historic (No Identified Response)
2014-0144 31 Mar 2014 Shropshire, Telford & Wrekin
AGCO Ltd
Concerns summary (AI summary) Farm bale chutes are routinely left lowered and unmarked on public highways, contrary to manufacturer instructions, posing a significant, unlit obstruction hazard to other road users.
Victoria Meppen-Walter
Historic (No Identified Response)
2014-0083 27 Feb 2014 Manchester (North)
Department of Health and Social Care Medicines and Healthcare Products Regul…
Concerns summary (AI summary) Concerns were raised regarding the easy online availability and regulation of chloroquine, along with the associated risks of its misuse.
Sean Cunningham
Historic (No Identified Response)
2014-0087 26 Feb 2014 Lincolnshire (Central)
Martin-Baker the MOD
Concerns summary (AI summary) A persistent design flaw in ejection seats allows strap misrouting, posing a significant risk, and manufacturers lack a robust system for urgently disseminating safety-critical information.
Neil Blood
Historic (No Identified Response)
2014-0183 4 Feb 2014 Stoke-on-Trent & North Staffordshire
Department for Transport Shimano Inc
Concerns summary (AI summary) A lack of regulatory oversight, risk assessment, and consumer warnings for pedal cycle cleats and shoes raises concerns about potential dangers to users.