FDA Adverse Event
Injury
Summary report: N
HENRY SCHEIN
MDR report key: 5643959
·
Received May 10, 2016
Report
- Report Number
- 2411236-2016-00003
- Event Type
- Injury
- Date Received
- May 10, 2016
- Date of Event
- April 5, 2016
- Report Date
- April 14, 2016
- Manufacturer
- SHANGHAI INTCO MEDICAL SUPPLY CO., LTD.
- Product Code
- IMD
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- CT, US
- Reporter Occupation
- NURSE
Narratives
Description of Event or Problem · 1
THE CUSTOMER REPORTS THAT AFTER A FEW SECONDS AFTER PERFORMING CHEMOTHERAPY TREATMENT ON A MALE PATIENT FOR LYMPHOMA THE HOT PACK WAS HOT. THE NURSE THEN REMOVED THE HOT PACK FROM THE PATIENT'S LEFT ARM WHEN SHE NOTICED A BURN ON THE PATIENT'S ARM. THE BURN WAS TREATED WITH SILVADENE CREAM BY A NURSE PRACTITIONER IN THE OFFICE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 299350 | HENRY SCHEIN | INSTANT SUMMER HOT | IMD | SHANGHAI INTCO MEDICAL SUPPLY CO., LTD. | 012816 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 61 YR | Other |