inforMED
MalfunctionMPO

NOVAPLUS INFANT HEEL WARMER SQUEEZE

Received Jun 15, 2023 · Event occurred Jan 1, 1980

Report 1423537-2023-00951 · MDR key 17140014

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
  • Burst Container or Vessel

Patient

Male

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

Narrative

Additional Manufacturer Narrative

NO SAMPLES WERE RETURNED FOR EVALUATION, THEREFORE A ROOT CAUSE COULD NOT BE DETERMINED AT THIS TIME. A REVIEW OF THE DEVICE HISTORY RECORD COULD NOT BE PERFORMED AS A LOT NUMBER WAS NOT PROVIDED. CARDINAL HEALTH WILL CONTINUE TO MONITOR AND TREND ALL REPORTED PRODUCT RELATED ISSUES.

Description of Event or Problem

CUSTOMER REPORTED THAT THE CLINICIAN POPPED THE HEEL WARMER LIKE NORMAL, NO EXTRA FORCE, NEAR THE BEDSIDE IN TRIAGE. IT EXPLODED TOWARDS THE FOOT OF THE BED AT PATIENT'S SHOULDER WITH GEL GETTING ON HIS JACKET. IT ALSO GOT ON CLINICIAN'S SCRUBS, ON PATIENT BED, AND ON THE FLOOR. THERE WAS NO ADVERSE EFFECT. EVENT DATE IS UNKNOWN.