inforMED
InjuryFLE

DR. BROWNS STEAM SANITIZING BAG

Received Nov 7, 2023

Report MW5147894 · MDR key 18093386

Device

Generic name

Sterilizer, Steam

Patient

Unknown

  • Partial thickness (Second Degree) Burn
  • Partial thickness (Second Degree) Burn

Narrative

Description of Event or Problem

USING DR. BROWNS STEAM SANITIZING BAG TO SANITIZE BABY BOTTLE PARTS IN THE HOSPITAL SETTING. CLOSED BAG PER INSTRUCTIONS AND MICROWAVED AFTER ADDING BOTTLE PARTS AND WATER. UPON COMPLETION OF MICROWAVE TIME, PICKED UP BAG PER INSTRUCTIONS, CAREFULLY AVOIDING THE STEAM VENT, BUT TOP SPONTANEOUSLY POPPED OPEN WITH STEAM ESCAPING IN AN UNEXPECTED LOCATION, CAUSING A SECOND DEGREE STEAM BURN TO THE HAND. THE INSTRUCTIONS SAY TO CLOSE BAG SECURELY. PERSON AFFECTED BELIEVED THAT HAD BEEN DONE, BUT THERE IS NO WAY TO VISUALLY VERIFY THAT THE SEAL IS COMPLETE AND/OR WILL REMAIN INTACT AT THE TIME THE BAG IS REMOVED FROM THE MICROWAVE.