FDA Adverse Event
Malfunction
Summary report: N
INSULATED HOT PACK, LARGE, 6X9IN
MDR report key: 17580548
·
Received August 18, 2023
Report
- Report Number
- 1423537-2023-00982
- Event Type
- Malfunction
- Date Received
- August 18, 2023
- Date of Event
- June 26, 2023
- Report Date
- October 10, 2023
- Manufacturer
- RAPID AID CORP
- Product Code
- IMD
- UDI-DI
- 00630140039839
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- DE, US
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
THE COMPLAINT WAS FORWARDED TO THE MANUFACTURING FACILITY WHERE IT IS CURRENTLY STILL UNDER INVESTIGATION. A FOLLOW-UP REPORT WILL BE FILED ONCE THE RESULTS HAVE BEEN COMPLETED.
Additional Manufacturer Narrative · 0
THIS REPORT WAS FILED IN ERROR. CARDINAL HEALTH IS NOT THE LEGAL MANUFACTURER OF THIS THIS DEVICE. THE LEGAL MANUFACTURER IS RAPID AID IN MISSISSAUGA, ONTARIO CANADA. THE MANUFACTURER HAS BEEN NOTIFIED OF THE EVENT.
Description of Event or Problem · 0
CUSTOMER STATED PATIENT CARE TECH WENT TO SQUEEZE HOT PACK TO ACTIVATE FOR PATIENT. HOT PACK BURST, COVERING EMPLOYEE EYES IN THE FLUID FROM THE PACK. THE HOT PACK WAS DISCARDED. NO ADVERSE INJURY TO EMPLOYEE AND NO TREATMENT GIVEN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2094966 | INSULATED HOT PACK, LARGE, 6X9IN | PACK, HOT OR COLD, DISPOSABLE | IMD | RAPID AID CORP | 30104 | VN22361-78 | 00630140039839 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |