THERABEAD SINUS PAIN RELIEF MOIST HEAT COMPRES 616-4509-0000

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a 04 report with the FDA on 2011-08-15 for THERABEAD SINUS PAIN RELIEF MOIST HEAT COMPRES 616-4509-0000 manufactured by Briggs Medical Service Company.

Event Text Entries

[2263181] End user stated she was burned on her knee by therabeads. Her knee was bothering her, so she asked her nephew to heat up the therabeads for her. He wiped it with a damp rag and patted it dry before microwaving it for 1 minute and 40 seconds. She laid it on her bed, waited 30 minutes, then laid on top of the pad on the bed on her right side. Later on, she felt the pad steaming, so she threw it on the floor. She didn't put the lights on, but went to the shower, where she discovered a scab fall off, approximately 3" beside her scar, with a burn area measuring approximately 3" x 6". She went to her surgeon, who x-rayed her knee and prescribed cipro for her. She then went to her pcp doctor, who changed her to silvadene and cipro and sent her to wound care because she had a "very bad burn. " wound care who put acusil on the burn, with a band-aid over and then waterproof coating.
Patient Sequence No: 1, Text Type: D, B5


[9403732] The patient misunderstood the instructions for use. She thought that the compress needed to be moistened prior to heating. The instructions state to place the pad in a clean microwave and heat at full power for 60 seconds. Users are instructed to touch test the pad before using. If the user desires more heat, they can continue to heat in 30 seconds intervals until the desired temperature is reached. They are instructed to always touch test the pad after each additional 30 second interval. There is a note for the end user to lightly touch test the product to determine uniform, safe heat levels prior to applying to treatment area. For the maintenance of the pad, users are to only surface wipe (clean water only) the pad with a damp cloth if it becomes soiled and allow the pad to air dry thoroughly before storage or use. This product is no longer manufactured at the (b)(4) facility.
Patient Sequence No: 1, Text Type: N, H10


MAUDE Entry Details

Report Number1219232-2011-00008
MDR Report Key2218507
Report Source04
Date Received2011-08-15
Date of Report2011-08-12
Date of Event2011-07-16
Date Facility Aware2011-07-26
Report Date2011-08-12
Date Reported to FDA2011-08-12
Date Mfgr Received2011-07-26
Date Added to Maude2011-08-24
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 FDA3
Event Location3
Manufacturer ContactJERI HILL, MANAGER
Manufacturer Street1931 NORMAN DRIVE, S.
Manufacturer CityWAUKEGAN IL 60085
Manufacturer CountryUS
Manufacturer Postal60085
Manufacturer Phone8475735947
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameTHERABEAD SINUS PAIN RELIEF MOIST HEAT COMPRES
Generic NameTHERABEADS
Product CodeIMA
Date Received2011-08-15
Model Number616-4509-0000
Catalog Number616-4509-0000
Lot NumberUNK
ID NumberNA
OperatorLAY USER/PATIENT
Device AvailabilityY
Device AgeNA
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBRIGGS MEDICAL SERVICE COMPANY
Manufacturer Address1788 W. CHERRY ST. JESUP GA 31545 US 31545


Patients

Patient NumberTreatmentOutcomeDate
101. Required No Informationntervention 2011-08-15

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