inforMED
MalfunctionDWJ

HOTDOG TEMPERATURE MANAGEMENT CONTROLLER MULTIPORT AND 2-PANEL MULTI-POSITION BL

Received Jul 1, 2024 · Event occurred Jun 25, 2024

Report MW5156877 · MDR key 19655960

Device

Generic name

System, Thermal Regulating

Model number

B105

Patient

40 YR · Male

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

Narrative

Description of Event or Problem

WHILE USING THE 3M HOTDOG DURING AN ANTERIOR TOTAL HIP ARTHROPLASTY, PATIENT EXPERIENCED A BURN TO THE LEFT THUMB, WITH BLISTERING, DUE TO CONTACT WITH THE HOTDOG 2-PANEL OVER BODY WARMING BLANKET. THIS IS THE SECOND TIME WE'VE EXPERIENCED AN OVERHEATING ISSUE IN WHICH 3M DID NOTHING ABOUT. THE REP AND THE CORPORATE TEAM WERE DISMISSIVE AND SAID THAT THEIR PRODUCT IS NOT ABLE TO BURN A PATIENT. THIS TIME, THE UNIT CAUSED A BURN AND BLISTERING AND WE WILL NO LONGER USE THIS DEVICE/EQUIPMENT. WARMING BLANKET REF NUMBER: (B)(4), SERIAL NUMBER: (B)(6). HOTDOG CONTROLLER REF NUMBER: (B)(4), SERIAL NUMBER: (B)(6). REFERENCE REPORT: #MW5156876.