FDA Adverse Event
Malfunction
Summary report: N
CONVECTIVE PATIENT WARMER
MDR report key: 2053359
·
Received March 16, 2011
Report
- Report Number
- 1313850-2011-00038
- Event Type
- Malfunction
- Date Received
- March 16, 2011
- Date of Event
- February 15, 2011
- Report Date
- February 15, 2011
- Manufacturer
- GAYMAR INDUSTRIES, INC.
- Product Code
- DWJ
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- UNKNOWN
Narratives
Description of Event or Problem · 1
IT WAS REPORTED A BURNING SMELL WAS EMITTED FROM THE DEVICE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | CONVECTIVE PATIENT WARMER | PATIENT WARMER | DWJ | GAYMAR INDUSTRIES, INC. | TC3000 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | UNK |