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