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 2020-03-11 for THERMOPHORE 155 manufactured by Battle Creek Equipment.

Event Text Entries

[183135026] Customer stated, "after midnight laying in bed, he woke up to sparks and flames shooting out from the switch. Every time he touched the switch he got shocked. The switch was glowing red and never shut off. " customer claimed injury. Product was returned. The investigator observed that the pad was bunched and that the cord was wrapped and twisted. The severity of the twisting of the cord is the probable cause of the cut on the cord near the switch. The investigator determined that the cut on the cord exposed a wire which would corroborate the customer report of getting shocked, seeing sparks and/or flames "shooting out of the switch". The root cause of the issue was determined to be customer misuse of twisting and wrapping the cord. The ifu states, "loop cord loosely when storing. Tight wrapping may damage cord and internal parts. "
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1832415-2020-11171
MDR Report Key9818288
Report SourceCONSUMER
Date Received2020-03-11
Date Added to Maude2020-03-11
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag0
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 Received2020-03-11
Returned To Mfg2020-03-03
Model Number155
Lot Number000155258173
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 2020-03-11

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