FDA Adverse Event Injury Summary report: N

ARTIC SUN TEMPERATURE MANAGEMENT SYSTEM

MDR report key: 518449 · Received March 12, 2004

Report

Report Number
MW1031550
Event Type
Injury
Date Received
March 12, 2004
Date of Event
February 13, 2004
Report Date
March 11, 2004
Manufacturer
MEDIVANCE, INC.
Product Code
DWJ
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
IA, US
Reporter Occupation
NURSE

Narratives

Description of Event or Problem · 1

PT INJURED IN A MOTOR VEHICLE ACCIDENT, ADMITTED 2004, AND COOLING SYSTEM APPLIED THE NEXT DAY. MACHINE SENSES THE BODY TEMPERATURE VIA A RECTAL THERMOMETER, GOALS ARE DIALED IN AND THE MACHINE ADJUSTS THE WATER FLOW ACCORDINGLY. PADS CHANGED IN EVENING THIRTEEN DAYS LATER BECAUSE OF LOW WATER PRESSURE ALARM. THREE PADS REAPPLIED FOR APPROX 30% COVERAGE. NO FURTHER ALARMS, AND SKIN WAS INTACT, SLIGHTLY RED AND COOL TO TOUCH AS EXPECTED. THE NEXT MORNING SKIN ASSESSED AND NOTED THAT AREA UNDER PADS ON THIGHS WERE DEEP PURPLE IN COLOR AND REDDENED AROUND EDGES. SPOT ALSO NOTED ON RIGHT SCAPULA. SKIN COOL TO TOUCH. SYSTEM REMOVED, PT TREATED AND NOTIFIED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ARTIC SUN TEMPERATURE MANAGEMENT SYSTEM COOLING SYSTEM DWJ MEDIVANCE, INC. * *

Patients

Seq Age Sex Outcome Treatment
1 49 YR