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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CINCINNATI SUB-ZERO PRODUCTS, LLC COLD THERAPY; COLD THERAPY PAD

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CINCINNATI SUB-ZERO PRODUCTS, LLC COLD THERAPY; COLD THERAPY PAD Back to Search Results
Model Number CT-99
Device Problem Fluid/Blood Leak (1250)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Type  malfunction  
Manufacturer Narrative
User reported a ct-99 pad leaked on a patient's surgical site.Csz opened complaint (b)(4).
 
Event Description
Customer stated a ct-99 pad leaked on a patient's surgical site.
 
Manufacturer Narrative
Investigation determined that the machining die detail was damaged.The die was repaired to correct.
 
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Brand Name
COLD THERAPY
Type of Device
COLD THERAPY PAD
Manufacturer (Section D)
CINCINNATI SUB-ZERO PRODUCTS, LLC
12011 mosteller road
cincinnati OH 45241
Manufacturer (Section G)
CINCINNATI SUB-ZERO PRODUCTS, LLC
12011 mosteller road
cincinnati OH 45241
Manufacturer Contact
christina miracle
12011 mosteller road
cincinnati, OH 45241
5133265295
MDR Report Key8171347
MDR Text Key130627953
Report Number1516825-2018-00022
Device Sequence Number1
Product Code ILO
Combination Product (y/n)N
Reporter Country CodeUS
PMA/PMN Number
EXEMPT
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Health Professional
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 12/12/2018
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/17/2018
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Health Professional
Device Model NumberCT-99
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? No
Date Manufacturer Received11/21/2018
Was Device Evaluated by Manufacturer? No
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Patient Sequence Number1
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