FDA Adverse Event
Injury
Summary report: N
MEDICHOICE INSTANT WARM PACK
MDR report key: 6998861
·
Received November 3, 2017
Report
- Report Number
- 6998861
- Event Type
- Injury
- Date Received
- November 3, 2017
- Date of Event
- August 15, 2017
- Report Date
- October 26, 2017
- Manufacturer
- OWENS & MINOR DISTRIBUTION, INC.
- Product Code
- IMD
- Adverse Event
- Yes
- Report Source
- User Facility report
- Reporter Location
- MA, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
INSTANT WARM COMPRESS PLACED ON PATIENT'S SHOULDER AFTER SURGERY. COMPRESS REMOVED BY RN WHO NOTED REDDENED SKIN, WHICH LATER PROGRESSED INTO A SECOND DEGREE BURN (BLISTER).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 780713 | MEDICHOICE INSTANT WARM PACK | PACK, HOT OR COLD, DISPOSABLE | IMD | OWENS & MINOR DISTRIBUTION, INC. | CWP901 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 63 YR | Other| R | NO OTHER THERAPIES |