FDA Adverse Event Injury Summary report: N

MCKESSON MEDI-PAK

MDR report key: 2268959 · Received August 1, 2011

Report

Report Number
1451040-2011-00003
Event Type
Injury
Date Received
August 1, 2011
Date of Event
May 23, 2011
Report Date
August 1, 2011
Manufacturer
SHANGHAI INTCO MEDICAL SUPPLY, CO., LTD.
Product Code
IMD
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
PA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

IT WAS REPORTED TO US THAT A PT RECEIVED A SECOND DEGREE BURN WHILE USING HEAT PACK. WE WERE TOLD BY THE INITIAL REPORTER THAT THE LABEL INSTRUCTIONS TO WRAP THE PACK IN A CLOTH OR TOWEL WERE NOT FOLLOWED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 MCKESSON MEDI-PAK INSTANT HOT COMPRESS IMD SHANGHAI INTCO MEDICAL SUPPLY, CO., LTD. 16-9706 961085

Patients

Seq Age Sex Outcome Treatment
1 Other