inforMED
MalfunctionIME

INSTANT HOT PACK

Received Jul 2, 2018 · Event occurred Jun 28, 2018

Report 7654275 · MDR key 7654275

Device

Generic name

Instant Hot Pack

Model number

11443-512

Catalog number

11443-512

Lot number

V8H054

Product problems

  • Leak/Splash
  • Material Separation

Patient

Not reported

  • No Consequences Or Impact To Patient
  • No Consequences Or Impact To Patient

Narrative

Description of Event or Problem

INSTANT HOT PACK ACTIVATED AND CONTENTS SPILLED TO FLOOR AFTER ACTIVATION. NO CONTENTS REACHED PATIENT; AREA IMMEDIATELY CLEANED BY RN. SEAM AT TOP OF POUCH SEPARATED WHEN PRODUCT WAS SQUEEZED DURING ATTEMPTED ACTIVATION. NO OTHER PUNCTURES OR TEARS NOTED ON POUCH.