FDA Adverse Event Other Summary report: N

SOFTHEAT

MDR report key: 2974807 · Received February 13, 2013

Report

Report Number
1314800-2013-00007
Event Type
Other
Date Received
February 13, 2013
Date of Event
January 28, 2013
Report Date
February 13, 2013
Manufacturer
KAZ, INC.
Product Code
IRT
PMA / PMN Number
EXEMPT
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

THE CONSUMER REPORTED RECEIVING A SECOND DEGREE BURN ON HER SHOULDER FROM USE OF THE HEATING PAD. THE CONSUMER STATED SHE WAS LEANING AGAINST THE HEATING PAD AT THE TIME OF THE INJURY, THIS IS CONTRARY TO PROPER USE INSTRUCTION.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
64410 SOFTHEAT HEATING PAD IRT KAZ, INC. HP980 NA

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other