FDA Adverse Event Injury Summary report: N

HEATING PAD

MDR report key: 1893134 · Received November 5, 2010

Report

Report Number
MW5018053
Event Type
Injury
Date Received
November 5, 2010
Date of Event
October 5, 2010
Report Date
November 5, 2010
Manufacturer
CONMED
Product Code
IRT
Adverse Event
Yes
Report Source
Voluntary report
Reporter Location
OH, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

DEVICE BECAME REALLY HOT WHILE IN USE. BREAKER ON POWER STRIP WAS TRIPPED OFF BY DEVICE. PATIENT RECEIVED A FIRST DEGREE BURN ON HIS SIDE FROM PAD. PATIENT WAS PARTIALLY LYING ON PAD. PAD HAS A VISIBLE BURN HOLE THAT GOES ALL THE WAY THROUGH. BURN HOLE IN COVER OF PAD AS WELL AS COMFORTER AND SHEETS. MATTRESS AND MATTRESS PAD WERE ALSO BURNED BY DEVICE. NO FIRE, BUT CHARRING IS PRESENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 HEATING PAD IRT CONMED HP15B

Patients

Seq Age Sex Outcome Treatment
1 68 YR Other