inforMED
MalfunctionMPO

INFANT HEEL WARMER,SQUEEZE, 4X4IN

Received May 22, 2022 · Event occurred Apr 27, 2022

Report 1423537-2022-00768 · MDR key 14467485

Device

Generic name

Infant Heel Warmer (chemical Heat Pack)

Model number

11460-010T

Catalog number

11460-010T

Lot number

V2B110

Product problems

  • Burst Container or Vessel
  • Burst Container or Vessel

Patient

Female

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

Narrative

Description of Event or Problem

CUSTOMER REPORTED UPON ACTIVATION, THE INFANT HEEL WARMER BURST AT THE SEAMS EXPOSING HOT GEL CONTENTS ONTO THE NURSE¿S FACE AND HANDS. CONTENTS WAS WASHED OFF WITH WATER. THERE WAS NO INJURY TO THE NURSE.

Additional Manufacturer Narrative

DEVICE HISTORY REVIEW WAS COMPLETED ON THE REPORTED LOT NUMBER V2B110. THE LOT WAS FOUND TO HAVE BEEN MANUFACTURED AND RELEASED TO PREDETERMINED SPECIFICATIONS. NO ANOMALIES WERE FOUND DURING REVIEW OF THE RECORD. NO SAMPLE WAS RETURNED FOR INVESTIGATION, THEREFORE, AN EVALUATION OF THE COMPLAINT DEVICE FOR DEFICIENCY OF CONSTRUCTION COULD NOT BE PERFORMED. WE ARE UNABLE TO DETERMINE A SPECIFIC ASSIGNABLE ROOT CAUSE FOR THE REPORTED INCIDENT. WE WILL CONTINUE TO MONITOR THIS FAILURE MODE FOR THIS PRODUCT.