inforMED
MalfunctionMPO

NOVAPLUS INFANT HEEL WARMER SQUEEZE

Received May 1, 2023 · Event occurred Apr 5, 2023

Report 1423537-2023-00921 · MDR key 16845834

Device

Generic name

Infant Heel Warmer (chemical Heat Pack)

Manufacturer

Mo016 Mo-moberly

Model number

V11460-010

Catalog number

V11460-010

Lot number

V2S056

Product problems

  • Burst Container or Vessel
  • Burst Container or Vessel

Patient

Female

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

Narrative

Additional Manufacturer Narrative

DEVICE HISTORY REVIEW WAS COMPLETED ON THE REPORTED LOT V2S056. THE LOT WAS FOUND TO HAVE BEEN MANUFACTURED AND RELEASED TO PREDETERMINED SPECIFICATIONS. NO ANOMALIES WERE FOUND DURING REVIEW OF THE RECORDS. SAMPLES WERE NOT RETURNED FOR EVALUATION DUE TO WHICH A ROOT CAUSE COULD NOT BE DETERMINED. CARDINAL HEALTH WILL CONTINUE TO MONITOR TRENDS FOR THIS PRODUCT.

Description of Event or Problem

CUSTOMER REPORTED THE INFANT HEEL WARMER RUPTURE/EXPLODED WHILE ACTIVATING AND THE CONTENTS WENT EVERYWHERE. ONE NURSE GOT IT IN HER EYES CAUSING BURNING AND HAD TO USE THE EYE WASH STATION TO RINSE OUT HER EYES. NO INJURY OR MEDICATION PROVIDED, AND THE NURSE IS DOING WELL. NO DEMOGRAPHICS PROVIDED.