InjuryMPO
MEDLINE INFANT HEEL WARMER
Received Feb 17, 2023 · Event occurred Feb 2, 2023
Report MW5115080 · MDR key 16411814
Device
Generic name
Infant Heel Warmer (chemical Heat Pack)
Manufacturer
Medline Industries, Lp - NorthfieldModel number
MDS138007 UN22199A18Product problems
- Gel Leak
- Device Difficult to Setup or Prepare
- Material Rupture
Patient
1 DA · Male
- No Clinical Signs, Symptoms or Conditions
- No Clinical Signs, Symptoms or Conditions
Narrative
Description of Event or Problem
PRIMARY RN WAS COLLECTING A POC (POINT-OF-CARE) GLUCOSE ON AN INFANT WHEN SHE ATTEMPTED TO USE A MEDLINE INFANT HEEL WARMER BY BREAKING THE INNER COMPONENT TO START THE WARMING. HOWEVER, THE HEEL WARMER SPLIT THROUGH THE OUTSIDE BAG, SPILLING WARM GEL OUT. IT DID NOT EVER TOUCH THE INFANT. DEFECTIVE WARMER WAS SET ASIDE IN A PLASTIC BAG KEPT AT THE NURSES' STATION.