BEUDAMED
    FDA Adverse Event Malfunction Summary report: N

    KAZ HEATING PAD

    MDR report key: 1514208 · Received October 20, 2009

    Report

    Report Number
    MW5013100
    Event Type
    Malfunction
    Date Received
    October 20, 2009
    Date of Event
    October 11, 2009
    Report Date
    October 14, 2009
    Manufacturer
    KAZ, INC.
    Product Code
    IRT
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    KAZ/DUNLAP HEATING PAD STARTED ON FIRE WHILE IN USE. I RECEIVED A SMALL BURN FROM THE SCORCH.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 KAZ HEATING PAD HEATING PAD IRT KAZ, INC. PK7792AB

    Patients

    Seq Age Sex Outcome Treatment
    1 45 YR