BEUDAMED
    FDA Adverse Event Summary report: N

    THERMOPHORE HEATING PAD

    MDR report key: 3901565 · Received June 18, 2014

    Report

    Report Number
    1811605-2014-00142
    Date Received
    June 18, 2014
    Date of Event
    May 19, 2014
    Report Date
    June 18, 2014
    Manufacturer
    BATTLE CREEK EQUIPMENT
    Product Code
    IRT
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    PA, US
    Reporter Occupation
    NOT APPLICABLE

    Narratives

    Additional Manufacturer Narrative · 1

    DESPITE PROVIDING A PRE-PAID RETURN SERVICE LABEL, THE PRODUCT IN QUESTION HAS NOT BEEN RETURNED AS OF THE DATE OF THIS REPORT.

    Description of Event or Problem · 1

    CUSTOMER CALLED AND STATED THE PAD CAUGHT FIRE IN THE MIDDLE DURING USE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    358067 THERMOPHORE HEATING PAD ELECTRIC MOIST HEAT PACK IRT BATTLE CREEK EQUIPMENT

    Patients

    Seq Age Sex Outcome Treatment
    1