InjuryIMF
PACK COLD INSTANT MEDIUM
Received Nov 22, 2004
Report 1423507-2004-00122 · MDR key 556084
Device
Generic name
Instant Cold Pack
Manufacturer
Cardinal HealthModel number
10104Catalog number
10104
Lot number
UNK
Product problems
- Unknown (for use when the device problem is not known)
Patient
*
- Blister(s)
- Burn(s)
Narrative
Description of Event or Problem
FAMILY MEMBER CALLED AND STATED THAT PT USED THE 10104 INSTANT COLD PACK IN 10/2004 FOR APPROX 30 MINUTES AND RECEIVED WHAT THE PT REFERS TO AS 2ND OR 3RD DEGREE BURNS, AS IF THEY HAD PUT THEIR HANDS ON A HOT STORE. AREA IS NOW RED AND BLISTERED. PICTURES ATTACHED TO THE COMPLAINT.