inforMED
MalfunctionMPO

INFANT HEEL WARMER,SQUEEZE, 4X4IN

Received Jul 1, 2022 · Event occurred Jun 6, 2022

Report 1423537-2022-00799 · MDR key 14893507

Device

Generic name

Infant Heel Warmer (chemical Heat Pack)

Manufacturer

Mo016 Mo-moberly

Model number

11460-010T

Catalog number

11460-010T

Lot number

V2C148

Product problems

  • Burst Container or Vessel
  • Burst Container or Vessel

Patient

Male

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

Narrative

Additional Manufacturer Narrative

DEVICE HISTORY REVIEW WAS COMPLETED ON THE REPORTED LOT V2C148. THE LOT WAS FOUND TO HAVE BEEN MANUFACTURED AND RELEASED TO PREDETERMINED SPECIFICATIONS. NO ANOMALIES WERE FOUND DURING REVIEW OF THE RECORDS. WE RECEIVED 1 SAMPLE ON 6/21/2022. THE SAMPLE WAS ALREADY ACTIVATED. THE ROOT CAUSE WAS DETERMINED TO BE VOID IN THE TOP SEAL RESULTING FROM IMPROPER MACHINE/ EQUIPMENT SETUP. THE PRODUCTION TEAM WAS NOTIFIED OF THE COMPLAINT FOR HEIGHTENED AWARENESS AND THE IMPORTANCE OF ENSURING TEAMS ARE VERIFYING THAT THE MACHINE IS SETUP CORRECTLY AND FUNCTIONING AS INTENDED AFTER ANY MAINTENANCE IS PERFORMED. WE WILL CONTINUE MONITORING TRENDS FOR THIS PRODUCT.

Description of Event or Problem

CUSTOMER REPORTED THAT WHEN THE INFANT HEEL WARMER WAS ACTIVATED, THE PRODUCT OPENED UP AND THE CONTENTS SPLASHED IN THE LAB ASSISTANT'S EYE CAUSING EYE IRRITATION. NO TREATMENT WAS REQUIRED, ONLY RINSING OF EYE IN WATER. NO FURTHER DETAILS WERE PROVIDED.