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 |