FDA Adverse Event Other Summary report: N

SOFTHEAT

MDR report key: 2974818 · Received February 13, 2013

Report

Report Number
1314800-2013-00009
Event Type
Other
Date Received
February 13, 2013
Date of Event
January 29, 2013
Report Date
February 11, 2013
Manufacturer
KAZ, INC.
Product Code
IRT
PMA / PMN Number
EXEMPT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Occupation
NOT APPLICABLE

Narratives

Description of Event or Problem · 1

THE CONSUMER REPORTED RECEIVING BURNS FROM USE OF THE HEATING PAD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
64094 SOFTHEAT HEATING PAD IRT KAZ, INC. HP115 NA

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other