inforMED
MalfunctionMPO

NOVAPLUS INFANT HEEL WARMER SQUEEZE

Received May 1, 2023 · Event occurred Mar 22, 2023

Report 1423537-2023-00915 · MDR key 16849628

Device

Generic name

Infant Heel Warmer (chemical Heat Pack)

Manufacturer

Mo016 Mo-moberly

Model number

V11460-010

Catalog number

V11460-010

Lot number

UNKNOWN

Product problems

  • Burst Container or Vessel
  • Leak/Splash
  • Burst Container or Vessel
  • Leak/Splash

Patient

Unknown

  • Skin Inflammation/ Irritation
  • Skin Inflammation/ Irritation

Narrative

Additional Manufacturer Narrative

AT THE TIME OF THIS INVESTIGATION, THE DEVICE HISTORY RECORD COULD NOT BE VERIFIED AS A LOT NUMBER WAS NOT PROVIDED. A SAMPLE WAS NOT RETURNED FOR EVALUATION; THEREFORE, A ROOT CAUSE COULD NOT BE DETERMINED. WE WILL CONTINUE TO MONITOR COMPLAINT TRENDS AND UTILIZE THE INFORMATION AS PART OF CONTINUOUS IMPROVEMENT.

Description of Event or Problem

MEDWATCH REPORT STATES THE NOVAPLUS INFANT HEEL WARMER PACKETS (TEAL/WHITE PACKAGING) IS "EXPLODING" WHEN ACTIVATED. WHEN SQUEEZED TO ACTIVATE THE CONTENTS, THE SEAL ON THE PACKAGING OPENS UP AND THE CONTENTS SPRAY ACROSS THE AREA. ONE STAFF HAS MADE CONTACT WITH HER SKIN AND CAUSED SOME IRRITATION. DEFECTIVE ITEM DID NOT REACH THE BABY. NO CUSTOMER CONTACT INFORMATION PROVIDED.