THERMOPHORE 055

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 2020-01-24 for THERMOPHORE 055 manufactured by Battle Creek Equipment.

Event Text Entries

[181212527] Customer stated, "she lays the pad down and lays down on the pad. She was laying down holding the switch down and she looked down and saw flames coming out of the switch area. " customer did not claim injury. Product was not returned. An investigation into the lot found no instances of reported issues for the manufactured lot. An investigation into similar feedbacks found that the primary cause for the similar feedbacks was user misuse due to cord twisting/wrapping. The ifu states, "loop cord loosely when storing. Tight wrapping may damage cord and internal parts". The customer also admitted to misusing the pad by laying on it. The ifu states, "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 Number1832415-2019-11026
MDR Report Key9629847
Report SourceCONSUMER
Date Received2020-01-24
Date of Report2019-12-30
Date Added to Maude2020-01-24
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 Received2020-01-24
Model Number055
Lot Number0552212
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 2020-01-24

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