INFANT HEEL WARMER SQUEEZE 4X4IN
Received Aug 3, 2023 · Event occurred Jun 30, 2023
Report 1423537-2023-00974 · MDR key 17454208
Device
Generic name
Infant Heel Warmer (chemical Heat Pack)
Manufacturer
Mo016 Mo-moberlyModel number
11460-010TCatalog number
11460-010T
Lot number
V3D237
Product problems
- Burst Container or Vessel
- Burst Container or Vessel
Patient
57 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 LABORATORY SUPPORT TECHNICIAN WAS ACTIVATING THE HEEL WARMER BY SQUEEZING IT, THE TOP OF THE HEEL WARMER BUSTED OPEN. THERE WAS NO INJURY/ADVERSE EVENT. THE PACK MATERIAL GOT ON THE CLINICIAN'S CLOTHES. THERE WAS NO SKIN CONTACT. IT WAS WASHED AWAY WITH SOAP AND WATER. THE CLINICIAN WAS NOT HARMED.
Additional Manufacturer Narrative
TWO SAMPLES WERE RECEIVED FOR EVALUATION AND WERE VISUALLY INSPECTED FOR ANY DEFECTS. THE SAMPLES WERE ALREADY ACTIVATED AND A TEAR WAS NOTED IN POUCH. THE ROOT CAUSE WHICH CONTRIBUTED TO THE TEAR WAS DUE TO A MACHINE MISALIGNMENT. THE DEVICE HISTORY RECORD OF THE COMPLAINT LOT WAS REVIEWED. THE LOT WAS INSPECTED AND RELEASED IN COMPLIANCE WITH ALL REQUIREMENTS. NO ANOMALIES WERE FOUND DURING REVIEW OF THE RECORDS. CARDINAL HEALTH WILL CONTINUE TO MONITOR AND TREND ALL SIMILAR REPORTED PRODUCT RELATED ISSUES.