FDA Adverse Event Injury Summary report: N

ELASTOGEL HYPOTHERMIA MITTS & SLIPPERS

MDR report key: 7992427 · Received October 22, 2018

Report

Report Number
1929833-2018-00001
Event Type
Injury
Date Received
October 22, 2018
Report Date
October 19, 2018
Manufacturer
SOUTHWEST TECHNOLOGIES INC.
Product Code
IME
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

NO INFORMATION WAS GIVEN AS TO THE LOT NUMBER OF THE PRODUCT USED. THE LOT NUMBER REFERENCES THE PRODUCTION DATE OR A CLOSE PROXIMITY OF THE DATE OF PRODUCTION. THE PRODUCT USED DOES NOT CARRY AN EXPIRATION DATE.

Description of Event or Problem · 1

ON (B)(6) 2017, THE PATIENT SENT AN EMAIL TO SOUTHWEST TECHNOLOGIES EXPLAINING ABOUT 2 WEEKS PRIOR SHE USED THE SLIPPER AND MITT COOLING GEL PRODUCTS ON HER HANDS AND FEET DURING CHEMOTHERAPY AND SUFFERED SEVERE FROSTBITE ON HER FINGERS AND TOES AS A RESULT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
833354 ELASTOGEL HYPOTHERMIA MITTS & SLIPPERS PACK, HOT OR COLD, REUSABLE IME SOUTHWEST TECHNOLOGIES INC. TM7008, SL3000

Patients

Seq Age Sex Outcome Treatment
1 Other