FDA Adverse Event Other Summary report: N

SOFTHEAT

MDR report key: 2120464 · Received May 27, 2011

Report

Report Number
1314800-2011-00022
Event Type
Other
Date Received
May 27, 2011
Date of Event
May 17, 2011
Report Date
May 19, 2011
Manufacturer
KAZ, INC.
Product Code
IRT
PMA / PMN Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

THE CONSUMER REPORTED RECEIVING BURNS TO HER BACK AND HIP FROM USING THE HEATING PAD. SHE STATED SHE WAS LEANING AGAINST THE PAD ON THE BACK OF A CHAIR, THIS TYPE OF OPERATION IS CONTRARY TO PROPER USE INSTRUCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 SOFTHEAT HEATING PAD IRT KAZ, INC. HP950 NA

Patients

Seq Age Sex Outcome Treatment
1 UNK Other