inforMED
MalfunctionIME

CHATTANOOGA

Received Apr 23, 2015 · Event occurred Apr 9, 2015

Report 9616086-2015-00009 · MDR key 4725287

Device

Generic name

Hydrocollator

Manufacturer

Djo, Llc

Model number

2502

Catalog number

2502

Product problems

  • Thermal Decomposition of Device
  • Fire

Patient

Not reported

  • No Consequences Or Impact To Patient

Narrative

Additional Manufacturer Narrative

DEVICE NOT RETURNED TO MANUFACTURER.

Description of Event or Problem

COMPLAINT RECEIVED FROM CLINICIAN THAT ALLEGES "CUSTOMER STATES THAT THE UNIT CAUGHT FIRE AND THE BACK POWER CORD PLUG ALONG WITH THE BACK PANEL OF THE UNIT WAS BURNT UP. NO INJURY OCCURRED". QUESTIONNAIRE WAS NOT RECEIVED FROM CLINICIAN AND/OR PATIENT. DEVICE NOT RETURNED TO MANUFACTURER FOR EVALUATION. NO INDICATION EVENT CAUSED OR CONTRIBUTED TO PERMANENT IMPAIRMENT OR DEATH.