THERMOPHORE 155

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2020-01-22 for THERMOPHORE 155 manufactured by Battle Creek Equipment.

Event Text Entries

[180774890] Customer stated, " the pad caught fire by the wires leading into the switch. " customer did not claim injury. Product was not returned. An investigation into the manufactured lot found no other instances of potential fires occurring from this lot. An investigation into returned products for pad fire found that fire was primarily caused by customer misuse of twisting/ wrapping the cord to tight or folding/ laying on the pad. The ifu states, "loop cord loosely when storing. Tight wrapping may damage cord and internal parts. ", "do not sit on, lie on, or crush pad. Avoid sharp folds". Further investigation will be conducted once the product is returned, along with a supplemental report submitted.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1832415-2019-11020
MDR Report Key9616554
Report SourceCONSUMER
Date Received2020-01-22
Date of Report2019-12-23
Date Added to Maude2020-01-22
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMICHAEL GREEN
Manufacturer CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameTHERMOPHORE
Generic NameTHERMOPHORE
Product CodeIRT
Date Received2020-01-22
Model Number155
Lot Number0155065195
Device AvailabilityN
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerBATTLE CREEK EQUIPMENT
Manufacturer Address702 S REED RD FREMONT IN 46737 US 46737


Patients

Patient NumberTreatmentOutcomeDate
10 2020-01-22

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