FDA Adverse Event
Malfunction
Summary report: N
ATLANTICMED
MDR report key: 21240313
·
Received January 27, 2025
Report
- Report Number
- 21240313
- Event Type
- Malfunction
- Date Received
- January 27, 2025
- Date of Event
- December 27, 2024
- Report Date
- January 16, 2025
- Manufacturer
- ATLANTIC TRADING LLC
- Product Code
- IMD
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- AZ
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
INFANT HEEL WARMER OUTER PLASTIC PUNCTURED AND FLUID LEAKING OUT WHEN ATTEMPTING TO ACTIVATE DISK WITHIN.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 607182 | ATLANTICMED | PACK, HOT OR COLD, DISPOSABLE | IMD | ATLANTIC TRADING LLC | C0012212-1 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |