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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STRYKER MEDICAL-KALAMAZOO TEMPERATURE THERAPY PAD; PACK, HOT OR COLD, WATER CIRCULATING

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STRYKER MEDICAL-KALAMAZOO TEMPERATURE THERAPY PAD; PACK, HOT OR COLD, WATER CIRCULATING Back to Search Results
Catalog Number 8002062022
Device Problems Adverse Event Without Identified Device or Use Problem (2993); Patient Device Interaction Problem (4001)
Patient Problems Hyperemia (1904); Superficial (First Degree) Burn (2685)
Event Date 10/01/2019
Event Type  malfunction  
Manufacturer Narrative
The burn allegedly appeared as a "mild sunburn" and no treatment was required.
 
Event Description
It was alleged that while the patient was lying on the pad, they allegedly received a 1st degree burn from the temperature pump.
 
Manufacturer Narrative
After investigation, the alleged reddening of the patients skin was found to not likely be related to a defect with the product as no malfunction or product defect was alleged.A conversation with a clinical science liaison identified that this was likely reactive hyperemia related to compression force while laying on the pad.Device updated to temperature therapy pad.
 
Event Description
It was alleged that while the patient was lying on the pad, they allegedly received a 1st degree burn.
 
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Brand Name
TEMPERATURE THERAPY PAD
Type of Device
PACK, HOT OR COLD, WATER CIRCULATING
Manufacturer (Section D)
STRYKER MEDICAL-KALAMAZOO
3800 east centre avenue
portage MI 49002
Manufacturer (Section G)
STRYKER MEDICAL-KALAMAZOO
3800 east centre avenue
portage MI 49002
Manufacturer Contact
brian thompson
3800 east centre avenue
portage, MI 49002
2693292100
MDR Report Key9249438
MDR Text Key172602495
Report Number0001831750-2019-01198
Device Sequence Number1
Product Code ILO
UDI-Device Identifier07613327169249
UDI-Public07613327169249
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type user facility
Reporter Occupation Other
Type of Report Initial,Followup
Report Date 12/17/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received10/29/2019
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator No Information
Device Catalogue Number8002062022
Device Lot NumberUNKNOWN
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Date Manufacturer Received10/01/2019
Was Device Evaluated by Manufacturer? No
Is the Device Single Use? No
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Reuse
Patient Sequence Number1
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