FDA Adverse Event Other Summary report: N

SOFTHEAT

MDR report key: 2120463 · Received May 27, 2011

Report

Report Number
1314800-2011-00021
Event Type
Other
Date Received
May 27, 2011
Date of Event
May 9, 2011
Report Date
May 19, 2011
Manufacturer
KAZ, INC.
Product Code
IRT
PMA / PMN Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

THE CONSUMER REPORTED RECEIVING BURNS TO HER STOMACH FROM THE HEATING PAD. SHE ALLEGED THE BURNS RESULTED IN BLISTERS FOR WHICH SHE SOUGHT MEDICAL ATTENTION. THE CONSUMER STATED THE WARNING LIGHT ON THE HEATING PAD WAS FLASHING PRIOR TO THE INCIDENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SOFTHEAT HEATING PAD IRT KAZ, INC. HP215 NA

Patients

Seq Age Sex Outcome Treatment
1 UNK Other