MAUDE MDR 2249725

MDR report key
2249725
Report number
1022819-2011-00009
Event key
0
Event type
3
Date of event
2011-08-31
Date received
2011-09-01
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
0
Health professional
3
Initial report to FDA
3
Event location
0

Manufacturer Contact#

Address
1430 DECISION STREET VISTA CA 92081 US
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1CHATTANOOGASTEAM PACKDJO GLOBALIMG1002R N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12011-09-0101. O

Event Narratives#

D

Patient 1

DR (B)(6) CALLED AND SAID THAT ALL HIS HOT PACKS BURST AND ONE GAVE HIS PATIENT A THIRD DEGREE BURN THAT DID NOT REQUIRE ADDITIONAL MEDICAL INTERVENTION.