FDA Adverse Event
Malfunction
Summary report: N
MEDLINE
MDR report key: 21804818
·
Received April 9, 2025
Report
- Report Number
- 21804818
- Event Type
- Malfunction
- Date Received
- April 9, 2025
- Date of Event
- February 28, 2025
- Report Date
- April 3, 2025
- Manufacturer
- MEDLINE INDUSTRIES, INC.
- Product Code
- IMD
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- MI
- Reporter Occupation
- RISK MANAGER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
INSTANT HOT PACK 6X6IN UPPER SEAL LEAKING. GEL GOT ON PATIENT'S ABDOMEN. NO REACTION NOTED AT THIS TIME.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 471330 | MEDLINE | PACK, HOT OR COLD, DISPOSABLE | IMD | MEDLINE INDUSTRIES, INC. | MDS139008 | HCN24251-90 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 29 YR | Female |