inforMED
MalfunctionMPO

INFANT HEEL WARMER,SQUEEZE, 4X4IN

Received May 28, 2022 · Event occurred May 2, 2022

Report 1423537-2022-00773 · MDR key 14537808

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

26 YR · Female

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

Narrative

Additional Manufacturer Narrative

DEVICE HISTORY RECORD REVIEW WAS COMPLETED ON THE REPORTED LOT NUMBER, V2B110. THE LOT WAS FOUND TO HAVE BEEN MANUFACTURED ON FEBRUARY 10, 2022 AND RELEASED TO PREDETERMINED SPECIFICATIONS. NO ANOMALIES WERE FOUND DURING REVIEW OF THE RECORDS. NO SAMPLES WERE RETURNED FOR EVALUATION THEREFORE A ROOT CAUSE COULD NOT BE DETERMINED. CARDINAL HEALTH WILL CONTINUE TO MONITOR COMPLAINT TRENDS FOR THIS ISSUE.

Description of Event or Problem

CUSTOMER HAS REPORTED THAT THE HEEL WARMER BUSTED OPEN BEFORE PLACING IT ON THE PATIENT. THE CONTENTS TO FROM THE HEEL WARMER LANDED ON HER SCRUB TOP, BUT NOWHERE ELSE. SHE WIPED HER TOP DOWN WITH A PAPER TOWEL AND WATER IN THE RESTROOM, WHICH WAS SUCCESSFUL IN GETTING THE SUBSTANCE OFF. NO INJURY.