inforMED
InjuryIME

NOVAPLUS INSTANT HOT PACK

Received Sep 5, 2018 · Event occurred Aug 21, 2018

Report MW5079635 · MDR key 7851080

Device

Generic name

Pack, Hot Or Cold, Reusable

Lot number

27-3961

Product problems

  • Burst Container or Vessel

Patient

38 YR

  • Burning Sensation
  • Burning Sensation

Narrative

Description of Event or Problem

CARDINAL NOVAPLUS INSTANT HOT PACK BUSTED WHEN ACTIVATED AND THE CONTENTS OF THE PACKAGE EXPLODED OUT INTO A STAFF MEMBER'S NECK AND CHEST. A STAFF MEMBER REPORTED ATTEMPTING TO ACTIVATE THE CARDINAL NOVAPLUS INSTANT HOT PACK AND THE CONTENTS BURST OUT OF THE PACKAGING ONTO HER NECK / CHEST AND THE TOP OF HER UNIFORM WAS DOWN TO HER ABDOMEN. SHE COMPLAINED OF A BURNING SENSATION TO HER EXPOSED SKIN. SHE REPORTED THE INCIDENT TO THE ADMINISTRATIVE MGR WHO SENT HER DOWN TO OUR FACILITY'S EMERGENCY ROOM. THE EMERGENCY ROOM EVALUATED THE STAFF MEMBER AND SENT HER HOME TO TAKE A SHOWER.