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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: WALGREENS BY SUNBEAM HEATING PAD

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WALGREENS BY SUNBEAM HEATING PAD Back to Search Results
Lot Number E12107-834A
Event Date 02/01/2010
Event Type  Malfunction  
Event Description

I was burned from using a heating pad. I have painful blisters and red blotches on my left inner forearm. The heating pad was made by 'walgreens by sunbeam' and the model number i think is e12107-834a. Dates of use: over the past 2 years.

 
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Brand NameWALGREENS BY SUNBEAM
Type of DeviceHEATING PAD
MDR Report Key1595201
Report NumberMW5014623
Device Sequence Number1
Product CodeIRT
Report Source Voluntary
Reporter Occupation Patient
Type of Report Initial
Report Date 02/01/2010
1 Device Was Involved in the Event
1 Patient Was Involved in the Event
Date FDA Received02/01/2010
Is This An Adverse Event Report? No
Is This A Product Problem Report? Yes
Device Operator Lay User/Patient
Device LOT NumberE12107-834A
OTHER Device ID NumberE12107-834A
Was Device Available For Evaluation? No
Is The Reporter A Health Professional? No
Is this a Reprocessed and Reused Single-Use Device? No

Patient TREATMENT DATA
Date Received: 02/01/2010 Patient Sequence Number: 1
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