FDA Adverse Event
Malfunction
Summary report: N
CARDINAL HEALTH
MDR report key: 11869649
·
Received May 24, 2021
Report
- Report Number
- 11869649
- Event Type
- Malfunction
- Date Received
- May 24, 2021
- Date of Event
- April 20, 2021
- Report Date
- May 11, 2021
- Manufacturer
- CARDINAL HEALTH 200, LLC
- Product Code
- IMD
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MD
- Reporter Occupation
- RISK MANAGER
Narratives
Description of Event or Problem · 1
STAFF RN WAS TRYING TO ACTIVATE THE HEAT PACK. THE CHEMICALS GOT ON HER SKIN AND CLOTHING. NO ADVERSE EFFECTS REPORTED. DID NOT COME INTO CONTACT WITH ANY PATIENT. MANUFACTURER RESPONSE FOR HOT PACK INSTANT, (BRAND NOT PROVIDED) (PER SITE REPORTER). PENDING.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 769578 | CARDINAL HEALTH | PACK, HOT OR COLD, DISPOSABLE | IMD | CARDINAL HEALTH 200, LLC | 11443-012B |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |