FDA Adverse Event Malfunction Summary report: N

HOTDOG TEMPERATURE MANAGEMENT CONTROLLER MULTIPORT AND 2-PANEL MULTI-POSITION BL

MDR report key: 19655939 · Received July 1, 2024

Report

Report Number
MW5156876
Event Type
Malfunction
Date Received
July 1, 2024
Date of Event
June 25, 2024
Report Date
June 26, 2024
Manufacturer
AUGUSTINE TEMPERATURE MANAGEMENT LLC
Product Code
DWJ
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
MI, US
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Description of Event or Problem · 0

WHILE USING THE 3M HOTDOG DURING AN ANTERIOR TOTAL HIP ARTHROPLASTY, PATIENT EXPERIENCED A BURN TO THE LEFT THUMB, WITH BLISTERING, DUE TO CONTACT WITH THE HOTDOG 2-PANEL OVER BODY WARMING BLANKET. THIS IS THE SECOND TIME WE'VE EXPERIENCED AN OVERHEATING ISSUE IN WHICH 3M DID NOTHING ABOUT. THE REP AND THE CORPORATE TEAM WERE DISMISSIVE AND SAID THAT THEIR PRODUCT IS NOT ABLE TO BURN A PATIENT. THIS TIME, THE UNIT CAUSED A BURN AND BLISTERING AND WE WILL NO LONGER USE THIS DEVICE/EQUIPMENT. WARMING BLANKET REF NUMBER: (B)(4), SERIAL NUMBER: (B)(6). HOTDOG CONTROLLER REF NUMBER: (B)(4), SERIAL NUMBER: (B)(6). REFERENCE REPORT: #MW5156877.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
447837 HOTDOG TEMPERATURE MANAGEMENT CONTROLLER MULTIPORT AND 2-PANEL MULTI-POSITION BL SYSTEM, THERMAL REGULATING DWJ AUGUSTINE TEMPERATURE MANAGEMENT LLC WC77

Patients

Seq Age Sex Outcome Treatment
1 40 YR Male Other