FDA Adverse Event Other Summary report: N

SOFTHEAT

MDR report key: 2143141 · Received June 21, 2011

Report

Report Number
1314800-2011-00025
Event Type
Other
Date Received
June 21, 2011
Date of Event
June 1, 2011
Report Date
June 7, 2011
Manufacturer
KAZ INC
Product Code
IRT
PMA / PMN Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
WI, US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

THE CONSUMER REPORTED RECEIVING A BURN TO HER RIGHT BREAST FROM THE HEATING PAD. SHE STATED FEELING A "PINCH" AND IT HAS RESULTED IN A SCAR. THE INCIDENT WAS NOT REPORTED FOR THREE MONTHS AND SHE DID NOT SEEK MEDICAL ATTENTION AT ANY POINT. EVENTS OF THIS NATURE ARE CAUSED BY PLACING THE HEATING PAD BETWEEN THE BODY AND AN EXTERNAL SURFACE.

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