MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2010-02-19 for LIPSHAW 225 * manufactured by Lipshaw.
[1322111]
Fire in paraffin pot. When the tech lifted the lid of the paraffin pot, flames shot up quickly to the ceiling. The paraffin dispenser is a lipshaw model # 225, (b) (4). This particular model is not equipped with an overtemp or safety shutoff feature. The device had a thermostat replaced in (b) (6) 2003 and again in (b) (6) 2009.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | MW5014869 |
| MDR Report Key | 1614799 |
| Date Received | 2010-02-19 |
| Date of Report | 2010-02-19 |
| Date of Event | 2010-02-14 |
| Date Added to Maude | 2010-02-25 |
| Event Key | 0 |
| Report Source Code | Voluntary report |
| Manufacturer Link | N |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Reporter Occupation | RISK MANAGER |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 0 |
| Single Use | 0 |
| Previous Use Code | 0 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | LIPSHAW |
| Generic Name | PARAFFIN POT |
| Product Code | IMC |
| Date Received | 2010-02-19 |
| Model Number | 225 |
| Catalog Number | * |
| Lot Number | * |
| ID Number | * |
| Operator | HEALTH PROFESSIONAL |
| Device Availability | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | LIPSHAW |
| Manufacturer Address | * * * |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2010-02-19 |