FDA Adverse Event
Injury
Summary report: N
HOT PACK, INSTANT
MDR report key: 5762956
·
Received June 30, 2016
Report
- Report Number
- 1417592-2016-00069
- Event Type
- Injury
- Date Received
- June 30, 2016
- Date of Event
- June 1, 2016
- Report Date
- June 30, 2016
- Manufacturer
- RAPID AID CORP.
- Product Code
- IMD
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- SC, US
- Reporter Occupation
- OTHER
Narratives
Additional Manufacturer Narrative · 1
IT WAS REPORTED THAT A PATIENT SUFFERED A BURN TO THE BACK OF A LEG FOLLOWING THE APPLICATION OF A HOT PACK. WE HAVE NO OTHER INFORMATION PERTAINING TO THE INCIDENT. THE SEVERITY OF THE BURN OR NEED FOR MEDICAL INTERVENTION IS NOT KNOWN. A SAMPLE HAS NOT BEEN RETURNED FOR EVALUATION. WE HAVE NO INFORMATION TO INDICATE A DEFECT EXISTED. THE MANUFACTURER HAS BEEN NOTIFIED OF THIS INCIDENT. WE HAVE NOT CONFIRMED A SERIOUS INJURY RESULTED BUT IN AN ABUNDANCE OF CAUTION, THIS MEDWATCH IS BEING FILED.
Description of Event or Problem · 1
PATIENT SUFFERED A BURN FROM THE HOT PACK.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 416778 | HOT PACK, INSTANT | IMD | RAPID AID CORP. | CN16078 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |