BEUDAMED
    FDA Adverse Event Injury Summary report: N

    ICY HOT HEAT THERAPY-BACK PATCH

    MDR report key: 1002023 · Received February 20, 2008

    Report

    Report Number
    MW5005616
    Event Type
    Injury
    Date Received
    February 20, 2008
    Date of Event
    February 1, 2008
    Report Date
    February 20, 2008
    Manufacturer
    *
    Product Code
    IMD
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MD, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    USED THE ICY HOT HEAT THERAPY PATCH PRODUCT ON MY HIP AREA OVERNIGHT. WHEN I TRIED TO PULL IT OFF, LAYERS OF SKIN CAME WITH IT, APPROX 2" LONG AND 1" WIDE. IT TOOK OVER TWO WEEKS TO HEAL. DATES OF USE: OVERNIGHT. DIAGNOSIS OR REASON FOR USE: SORE MUSCLE IN HIP AREA.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ICY HOT HEAT THERAPY-BACK PATCH NONE IMD * * *

    Patients

    Seq Age Sex Outcome Treatment
    1 57 YR