BEUDAMED
    FDA Adverse Event Injury Summary report: N

    UNKNOWN COLD PACK

    MDR report key: 649258 · Received December 5, 2005

    Report

    Report Number
    1423507-2005-00141
    Event Type
    Injury
    Date Received
    December 5, 2005
    Date of Event
    October 7, 2003
    Report Date
    December 5, 2005
    Manufacturer
    CARDINAL HEALTH
    Product Code
    KYR
    Adverse Event
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    IN, US
    Reporter Occupation
    ATTORNEY

    Narratives

    Description of Event or Problem · 1

    ACCORDING TO INFO FORWARDED BY CARDINAL LEGAL DEPT., IN 2003, WHILE AT HER PLACE OF EMPLOYMENT PT FELT A MUSCLE PULL IN HER UPPER BACK. PT RECEIVED FROM HER WORKPLACE A JACK FROST ICE PACK WHICH SHE "WRAPPED IN A TOWEL AND PLACED ON THE INJURED AREA OF HER BACK. WITHIN TWO OR THREE MINUTES, PT FELT A BURNING SENSATION ON HER BACK WHERE SHE HAD PLACED THE ICE PACK. SHE IMMEDIATELY REMOVED THE ICE PACK. PT SUSTAINED A PARTIAL THICKNESS BURN ON HER BACK ON THE AREA WHERE SHE HAD PLACED THE ICE PACK."

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 UNKNOWN COLD PACK UNKNWON COLD PACK KYR CARDINAL HEALTH UNKCOLDPK UNK

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other