inforMED
MalfunctionMPO

INFANT HEEL WARMER,SQUEEZE, 4X4IN

Received Aug 25, 2022 · Event occurred Jun 22, 2022

Report 1423537-2022-00828 · MDR key 15292655

Device

Generic name

Infant Heel Warmer (chemical Heat Pack)

Model number

11460-010T

Catalog number

11460-010T

Lot number

V2C235

Product problems

  • Burst Container or Vessel
  • Burst Container or Vessel

Patient

Unknown

  • 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, V2C235. THE LOT WAS FOUND TO HAVE BEEN MANUFACTURED ON (B)(6) 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

INFORMATION RECEIVED FROM MDR REPORT NUMBER: (B)(4). DURING THE ADMISSION OF A BABY TO THE SPECIAL CARE NURSERY A HEEL WARMER WAS OBTAINED, WHEN SQUEEZING THE HEEL WARMER TO ACTIVATE IT TO PLACE ON PATIENT, THE WARMER EXPLODED IN MY HAND WHICH CAUSED THE CONTENT INSIDE TO SPRAY ACROSS ROOM. THE CONTENT CAME INTO CONTACT AND LANDED ON A BABY. THE BABY WAS CLEANED IMMEDIATELY WITH SOAP AND WATER. SKIN WAS ASSESSED NO EVIDENCE NOTED OF ANY REACTION OR REDNESS. NEONATAL NURSE PRACTITIONER (NNP) WAS NOTIFIED AND CONTINUED TO MONITOR BABY. FDA SAFETY REPORT. ID# (B)(6).