MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a consumer report with the FDA on 2020-02-12 for THERMOPHORE 155 manufactured by Battle Creek Equipment.
[182780457]
Customer stated, "saw a flame come from the switch. " customer did not claim injury. Product was returned. Upon receiving of the unit the investigator observed evidence of fire at the switch. The investigator determined the fire was caused by a break in the cord. Additionally the investigator observed that the cord was wrapped/ twisted. The investigator determined that the twisting of the cord caused the break. The ifu states, "loop cord loosely when storing. Tight wrapping may damage cord and internal parts. "
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 1832415-2020-11081 |
| MDR Report Key | 9702626 |
| Report Source | CONSUMER |
| Date Received | 2020-02-12 |
| Date Added to Maude | 2020-02-12 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | MICHAEL GREEN |
| Manufacturer Country | US |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | THERMOPHORE |
| Generic Name | THERMOPHORE |
| Product Code | IRT |
| Date Received | 2020-02-12 |
| Returned To Mfg | 2020-01-28 |
| Model Number | 155 |
| Lot Number | 00155066195 |
| Device Availability | R |
| Device Eval'ed by Mfgr | Y |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | BATTLE CREEK EQUIPMENT |
| Manufacturer Address | 702 S REED RD FREMONT, IN US |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2020-02-12 |