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 2020-02-05 for THERMOPHORE 155 manufactured by Battle Creek Equipment.

Event Text Entries

[182722945] Customer stated, "smelled an electrical burning odor. She looked down and saw a spark come from the cord. She puts the pad on the wedge and lays back on it. Sometimes she lays flat on the floor on the pad. Sometimes she wraps the pad around her lower leg" customer did not claim injury. Product was returned. The investigator observed a burn mark on the cord at the butterfly. The investigator determined the burn was caused by the insulation of the wires being wore down, due to excessive flexing of the cord. The investigator observed evidence to corroborate the users statement of misuse of laying on and wrapping the pad while in use. The ifu states, never wrap, hold, or loop the cord in any position which sharply bends it. Ifu states, "do not sit on, lie on, or crush pad. Avoid sharp folds".
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1832415-2020-11042
MDR Report Key9673696
Report SourceCONSUMER
Date Received2020-02-05
Date of Report2020-01-07
Date Added to Maude2020-02-05
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 ContactMICHAEL GREEN
Manufacturer CountryUS
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameTHERMOPHORE
Generic NameTHERMOPHORE
Product CodeIRT
Date Received2020-02-05
Returned To Mfg2020-01-16
Model Number155
Lot Number00155016195
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerBATTLE CREEK EQUIPMENT
Manufacturer Address702 S REED RD FREMONT IN 46737 US 46737


Patients

Patient NumberTreatmentOutcomeDate
10 2020-02-05

© 2024 FDA.report
This site is not affiliated with or endorsed by the FDA.