MAUDE Adverse Event Report: BATTLE CREEK EQUIMPMENT THERMOPHORE AUTOMATIC HEAT PACK; ELECTRIC MOIST HEAT PACK

Model Number 055

Device Problems Fire (1245); Sparking (2595)

Patient Problem No Known Impact Or Consequence To Patient (2692)

Event Date 04/07/2014

Event Type  malfunction  

Event Description

Customer stated that the pad sparked by the switch wand caught on fire.

Manufacturer Narrative

Our inspection found a small cut in the cord near the switch that could have exposed the user to bare wire.The inspection also revealed customer misuse as our inspection found: poly cover dirty or stained, cord twisted, fda: cord cut/burned strain relief, switch ok, pad bunched, bent/broken lead, bent/broken thermostat, thermostat discoloration.This tells us that the pad was not being properly used as over bent near per our instructions in the manual.Cord breakage usually occurs when the cord is repeatedly over bent near the switch.We have initiated a capa project (b)(4) to reduce the occurrence of this issue.A new jacketed cord design was launched in production on (b)(4) 2014 that closes (b)(4) pending a future eval of the effectiveness of the solution.

• Brand Name: THERMOPHORE AUTOMATIC HEAT PACK
• Type of Device: ELECTRIC MOIST HEAT PACK
• Manufacturer (Section D): BATTLE CREEK EQUIMPMENT; fremont IN
• Manufacturer Contact: randy newsome ; 702 s reed st; fremont, IN 46737 ; 2699626181
• MDR Report Key: 3779476
• MDR Text Key: 4436745
• Report Number: 1811605-2014-00098
• Device Sequence Number: 1
• Product Code: IRT
• Combination Product (y/n): N
• Reporter Country Code: US
• Number of Events Reported: 1
• Summary Report (Y/N): N
• Report Source: Manufacturer
• Source Type: Consumer,User Facility
• Reporter Occupation: Not Applicable
• Type of Report: Initial
• Report Date: 04/16/2014

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Date FDA Received: 04/17/2014
• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Device Operator: Lay User/Patient
• Device Model Number: 055
• Was Device Available for Evaluation?: Device Returned to Manufacturer
• Date Returned to Manufacturer: 04/14/2014
• Is the Reporter a Health Professional?: No
• Date Manufacturer Received: 04/14/2014
• Was Device Evaluated by Manufacturer?: Yes
• Date Device Manufactured: 10/01/2011
• Is the Device Single Use?: No
• Is This a Reprocessed and Reused Single-Use Device?: No
• Patient Sequence Number: 1