MAUDE MDR 952902

MDR report key
952902
Report number
1216677-2007-00017
Event key
0
Event type
3
Date received
2007-09-19
Adverse event
0
Product problem
0
Patients in event
0
Reporter occupation
0
Health professional
0
Initial report to FDA
0
Event location
0

Manufacturer Contact#

Contact
THOMAS WILLIAMS
Address
95 CORPORATE DR TRUMBULL CT 06611 US
Phone
203-203-2036
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1PRISM HEALTHCAREINFANT TRANSPORT MATTRESSFOH20421NR

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12007-09-190

Event Narratives#

N

Patient 1

A REVIEW OF OUR COMPLAINT DATABASE UNCOVERED NO SIMILAR COMPLAINTS OR MDRS REGARDING THE SUBJECT DEVICE; HOWEVER, THREE MDRS WERE FILED WITH REGARDS TO SIMILAR PRODUCTS, I.E. INFANT HEEL WARMERS (REFERENCE LIST ATTACHED). THE TRANSPORT MATTRESS AND THE HEEL WARMER BOTH CONTAIN THE SAME SOLUTION, FOOD GRADE SODIUM ACETATE, WATER AND THICKENERS. THESE PREVIOUS EVENTS ARE NOT SIMILAR IN NATURE TO THE SUBJECT EVENT, THEREFORE, THE SUBJECT EVENT IS NOT CONSIDERED PART OF A TREND. THERE HAVE BEEN NO DESIGN CHANGES SINCE THIS PRODUCT WAS MARKETED RELATING TO THIS EVENT. ONCE ACTIVATED, THE TRANSPORT MATTRESS IS EXPECTED TO PROVIDE HEAT FOR UP TO TWO HOURS. THERE ARE NO COMPLAINTS INDICATING THE MATTRESS FAILED TO STAY WARM FOR THE ANTICIPATED TWO HOURS. WITH REGARDS TO THIS EVENT, THE INSTRUCTIONS FOR USE, LOCATED ON THE DEVICE, IN STATEMENT 6 STATES TO CHECK THE INFANT'S SKIN OCCASIONALLY FOR REDNESS AND CORE TEMPERATURE. THE 0TRANSPORT MATTRESS WAS USED IN CONJUNCTION WITH EXTERNAL HEAT SOURCES.