BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SUNBEAM HEATING PAD

    MDR report key: 1942053 · Received December 23, 2010

    Report

    Report Number
    MW5018709
    Event Type
    Injury
    Date Received
    December 23, 2010
    Date of Event
    December 20, 2010
    Report Date
    December 23, 2010
    Manufacturer
    SUNBEAM PRODUCTS, INC., JARDEN CONSUMER SOLUTIONS
    Product Code
    IRT
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    CA, US
    Reporter Occupation
    PHYSICIAN

    Narratives

    Description of Event or Problem · 1

    HEATING PAD SHORTED OUT AT THE POINT OF ENTRY OF THE WALL CURRENT -20V- CORD INTO THE CONTROLLER OF THE HEATING PAD. SHORT PRODUCED A FLASH, HEAT, FLAME, AND BRIEF SHOCK TO THE PT, USER. DEVICE WAS PLUGGED INTO SURGE PROTECTOR, DEVICE TRIPPED AND CUT CURRENT STOPPING PROBLEM. THIS, I BELIEVE PREVENTED FOR AND OR ANY FURTHER INJURY. DOSE OR AMOUNT: MEDIUM SETTING. FREQUENCY: 20 MINUTES. ROUTE: CUTANEOUS. DATES OF USE: (B)(6) 2007 - (B)(6) 2010, SEVERAL TIMES A MONTH. DIAGNOSIS OR REASON FOR USE: MUSCLE PAIN. EVENT ABATED AFTER USE: YES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SUNBEAM HEATING PAD HEATING PAD IRT SUNBEAM PRODUCTS, INC., JARDEN CONSUMER SOLUTIONS 720

    Patients

    Seq Age Sex Outcome Treatment
    1 55 YR Life Threatening