THERATHERM MOIST HEAT THERAPY 1030

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 04,08 report with the FDA on 2009-02-24 for THERATHERM MOIST HEAT THERAPY 1030 manufactured by Shian Jia Meei Enterprise Co., Ltd..

Event Text Entries

[1006062] The heating pad burnt the customer skin in a small place. The customer did not provide location of burn. The customer reported that she was 'fine' and that the pad just got too hot.
Patient Sequence No: 1, Text Type: D, B5


[8255756] Product evaluation and testing showed that the product had been mis-used by allowing the pad to fold onto itself. The instructions warn against folding the device onto itself. Also, misuse from lying on the pad could cause the same results. The instructions warn against lying on the pad. The manufacturer of the product supplied a letter stating there has not been reported problems with the product like reported in this complaint.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1022819-2008-00386
MDR Report Key1322361
Report Source04,08
Date Received2009-02-24
Date of Report2007-07-12
Date Mfgr Received2007-07-12
Date Added to Maude2009-02-24
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA0
Event Location0
Manufacturer ContactMICHAEL TREAS
Manufacturer Street4717 ADAMS ROAD
Manufacturer CityTN 37343
Manufacturer CountryUS
Manufacturer Postal37343
Manufacturer Phone4238707207
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameTHERATHERM MOIST HEAT THERAPY
Generic NameIMA
Product CodeIMA
Date Received2009-02-24
Model Number1030
OperatorPATIENT
Device AvailabilityY
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerSHIAN JIA MEEI ENTERPRISE CO., LTD.
Manufacturer AddressTW


Patients

Patient NumberTreatmentOutcomeDate
10 2009-02-24

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