MalfunctionIMF
INSTANT COLD PACK
Received Nov 21, 2001
Report 1423507-2001-00277 · MDR key 361937
Device
Generic name
Cold Pack
Manufacturer
Allegiance Healthcare CorporationModel number
10104Catalog number
10104
Lot number
V1J045
Product problems
- Material Rupture
Patient
UNKNOWN
- Blurred Vision
- Burning Sensation
- Other (for use when an appropriate patient code cannot be identified)
- Therapy/non-surgical treatment, additional
- Chemical Exposure
- Treatment with medication(s)
Narrative
Description of Event or Problem
THE PACK RUPTURED AS THEY WERE ACTIVATING IT AND THE SOLUTION GOT INTO THE EYES AND SKIN OF THE CLINICIAN. SPOKE WITH STAFF WHO STATED THE EMPLOYEE IMMEDIATELY WASHED THE PRODUCT CONTENTS OFF OF THE SKIN AND RINSED THE EYES. EMPLOYEE EXPERIENCED BLURRED VISION, BURNING SENSATION AND WATERING OF EYES. EMPLOYEE WENT TO A PHYSICIAN, WHO PRESCRIBED EYE DROPS. EMPLOYEE IS DOING WELL AT THIS TIME AND HAS EXPERIENCED NO FURTHER PROBLEMS.