FDA Adverse Event Other Summary report: N

KAZ

MDR report key: 5137581 · Received July 13, 2004

Report

Report Number
1314800-2004-00009
Event Type
Other
Date Received
July 13, 2004
Date of Event
March 30, 2004
Report Date
July 13, 2004
Manufacturer
KAZ, INC.
Product Code
IRT
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IA, US
Reporter Occupation
UNKNOWN

Narratives

Description of Event or Problem · 1

CONSUMER REPORTED UNDERGOING A DOUBLE MASTECTOMY, THEN USING A MICROWAVE HEATED PAD FOR RELIEF. CONSUMER INDICATED NO FEELING IN AREA OF APPLICATION. CONSUMER REPORTED BURN AFTER USE OF PAD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KAZ HEAT PAD IRT KAZ, INC. HC1302 NA

Patients

Seq Age Sex Outcome Treatment
1 42 YR Other