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 2020-02-14 for THERMOPHORE 055 manufactured by Battle Creek Equipment.

Event Text Entries

[183345046] Customer stated, "was using the pad when the switch smoked. Customer sent back a letter stating they took the unit apart to conduct their own investigations and the finding they found. " customer did not claim injury. Product was returned. The investigator observed that when the product was returned that the switch was broken apart, along with components missing. Based off customers supplied letter the investigator determined that the user took apart the switch to conduct their own investigation. Additionally the investigator observed evidence of a spark within the switch housing which may have caused smoke the end user reported. The investigation was inconclusive due to the user taking apart the unit and no failure of the device could be determined. The ifu states, "never attempt to open, disassemble, or otherwise access any of the product's internal components. "
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1832415-2020-11106
MDR Report Key9712184
Report SourceCONSUMER
Date Received2020-02-14
Date of Report2020-01-21
Date Added to Maude2020-02-14
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 Received2020-02-14
Returned To Mfg2020-01-31
Model Number055
Lot Number0554911
Device AvailabilityR
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerBATTLE CREEK EQUIPMENT
Manufacturer Address702 S REED RD FREMONT, IN US


Patients

Patient NumberTreatmentOutcomeDate
10 2020-02-14

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