FDA Adverse Event Other Summary report: N

INFANT HEEL WARMER

MDR report key: 3533120 · Received October 22, 2013

Report

Report Number
MW5033548
Event Type
Other
Date Received
October 22, 2013
Date of Event
October 16, 2013
Report Date
October 21, 2013
Manufacturer
ARGYLE
Product Code
MPO
Report Source
Voluntary report
Reporter Location
CA, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

THE PACKAGING OF PRODUCT (ARGYLE INFANT HEEL WARMER) BROKE APART WHILE SQUEEZING TO APPLY ON INFANTS HEEL FOR PKU TEST. THE FLUID IN THE PACK SPILLED ALL OVER THE INFANT AND NURSE PERFORMING THE TEST AS WELL AS SURROUNDING OBJECTS. CHEMICALS GOT ON TO THE INFANTS FACE BUT WAS WIPED OFF IMMEDIATELY, NO BURNING, CHANGE IN SKIN OR APPARENT DISTRESS TO INFANT. DATES OF USE: (B)(6) 2013. REASON FOR USE: INFANT HEEL WARMER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
541260 INFANT HEEL WARMER INFANT HEEL WARMER MPO ARGYLE

Patients

Seq Age Sex Outcome Treatment
1 6 DA Other