BEUDAMED
    FDA Adverse Event Injury Summary report: N

    MEDLINE ACCUTHERM

    MDR report key: 522997 · Received April 13, 2004

    Report

    Report Number
    MW1031830
    Event Type
    Injury
    Date Received
    April 13, 2004
    Date of Event
    March 23, 2004
    Report Date
    April 13, 2004
    Manufacturer
    MEDLINE
    Product Code
    IMD
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    OH, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    SECOND DEGREE BURN FROM HOT PACK, SLIPPED OFF OF ABDOMEN DOWN BETWEEN THINGS. BILATERAL SECOND DEGREE THIGH BURNS.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 MEDLINE ACCUTHERM HOTPACK IMD MEDLINE NI NI

    Patients

    Seq Age Sex Outcome Treatment
    1 23 YR Required Intervention