Brand Name | THERMACARE BACK PAIN THERAPY HEATWRAPS, UP TO 16HR PAIN RELIEF |
Type of Device | PACK, HOT OR COLD, DISPOSABLE |
Manufacturer (Section D) |
PFIZER INC. / BRIDGES CONSUMER HEALTHCARE |
|
|
MDR Report Key | 12960607 |
MDR Text Key | 281990954 |
Report Number | MW5105901 |
Device Sequence Number | 1 |
Product Code |
IMD
|
Combination Product (y/n) | N |
Reporter Country Code | US |
Number of Events Reported | 1 |
Summary Report (Y/N) | N |
Report Source |
Voluntary
|
Reporter Occupation |
Patient
|
Type of Report
| Initial |
Report Date |
12/04/2021 |
1 Device was Involved in the Event |
|
1 Patient was Involved in the Event |
|
Is this an Adverse Event Report? |
Yes
|
Is this a Product Problem Report? |
No
|
Was Device Available for Evaluation? |
No
|
Initial Date Manufacturer Received |
Not provided
|
Initial Date FDA Received | 12/07/2021 |
Patient Sequence Number | 1 |
Patient Outcome(s) |
Other;
|
Patient Age | 73 YR |
Patient Sex | Female |
Patient Weight | 101 KG |
Patient Ethnicity | Non Hispanic |
Patient Race | White |
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