inforMED
MalfunctionMPO

INFANT HEEL WARMER SQUEEZE 4X4IN

Received Jul 14, 2023 · Event occurred Jan 1, 1980

Report 1423537-2023-00960 · MDR key 17328020

Device

Generic name

Infant Heel Warmer (chemical Heat Pack)

Manufacturer

Mo016 Mo-moberly

Model number

11460-010T

Catalog number

11460-010T

Lot number

V2S065

Product problems

  • Burst Container or Vessel
  • Burst Container or Vessel

Patient

36 YR · Female

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

Narrative

Description of Event or Problem

IT HAS BEEN REPORTED THAT A CARDINAL HEALTH HEEL WARMER BURST WHILE BEING ACTIVATED BY A NURSE, LANDING IN HER EYE. PAIN AND REDNESS OF RN¿S EYE WAS NOTED, THE EYE WAS FLUSHED WITH SALINE, AND NO OTHER MEDICATION WAS PROVIDED. THE PACK MATERIAL WAS REMOVED BY COLD WATER IN THE SINK. THE NURSE REPORTED NO ISSUES AFTER THE INCIDENT.

Additional Manufacturer Narrative

NO SAMPLES WERE RETURNED BY THE CUSTOMER AND THEREFORE WE ARE UNABLE TO CONFIRM THE ROOT CAUSE FOR THE ISSUE REPORTED. DEVICE HISTORY RECORD REVIEW WAS COMPLETED ON THE REPORTED LOT V2S065.THE LOT WAS FOUND TO HAVE BEEN MANUFACTURED AND RELEASED TO PREDETERMINED SPECIFICATIONS. NO ANOMALIES WERE FOUND DURING REVIEW OF THE RECORDS. CARDINAL HEALTH WILL CONTINUE TO MONITOR AND TREND ALL REPORTED PRODUCT RELATED ISSUES FOR THIS PRODUCT.