inforMED
MalfunctionMPO

NOVAPLUS INFANT HEEL WARMER 4X4IN

Received Apr 4, 2022 · Event occurred Mar 7, 2022

Report 1423537-2022-00742 · MDR key 14000046

Device

Generic name

Infant Heel Warmer (chemical Heat Pack)

Manufacturer

Mo016 Mo-moberly

Model number

V11460-010

Catalog number

V11460-010

Lot number

V1N078

Product problems

  • Burst Container or Vessel
  • Burst Container or Vessel

Patient

49 YR · Female

  • No Clinical Signs, Symptoms or Conditions
  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

CUSTOMER REPORTED THAT THE HEEL WARMER EXPLODED ON A NURSE IN THE NICU WHEN SHE SQUEEZED IT TO ACTIVATE IT. THERE WAS NO INJURY OR FOLLOW UP CARE REQUIRED.

Additional Manufacturer Narrative

DEVICE HISTORY REVIEW WAS COMPLETED ON THE REPORTED LOT V1N078. THE LOT WAS FOUND TO HAVE BEEN MANUFACTURED AND RELEASED TO PREDETERMINED SPECIFICATIONS. NO ANOMALIES WERE FOUND DURING REVIEW OF THE RECORDS. NO SAMPLES WERE RETURNED FOR EVALUATION DUE TO WHICH A ROOT CAUSE COULD NOT BE DETERMINED. WE WILL CONTINUE TO MONITOR THIS FAILURE MODE FOR THIS PRODUCT.