FDA Adverse Event Malfunction Summary report: N

COLD THERAPY

MDR report key: 8171380 · Received December 17, 2018

Report

Report Number
1516825-2018-00025
Event Type
Malfunction
Date Received
December 17, 2018
Report Date
December 12, 2018
Manufacturer
CINCINNATI SUB-ZERO PRODUCTS, LLC
Product Code
ILO
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

INVESTIGATION DETERMINED THAT THE MACHINING DIE DETAIL WAS DAMAGED. THE DIE WAS REPAIRED TO CORRECT.

Additional Manufacturer Narrative · 1

USER REPORTED A CT-99 PAD LEAKED ON A PATIENT'S SURGICAL SITE. CSZ OPENED COMPLAINT (B)(4).

Description of Event or Problem · 1

CUSTOMER STATED A CT-99 PAD LEAKED ON A PATIENT'S SURGICAL SITE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1008062 COLD THERAPY COLD THERAPY PAD ILO CINCINNATI SUB-ZERO PRODUCTS, LLC CT-99

Patients

Seq Age Sex Outcome Treatment
1 Unknown