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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: CARDINAL HEALTH 200, LLC CARDINAL HEALTH; PACK, HOT OR COLD, DISPOSABLE

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CARDINAL HEALTH 200, LLC CARDINAL HEALTH; PACK, HOT OR COLD, DISPOSABLE Back to Search Results
Model Number 30104
Patient Problem Chemical Exposure (2570)
Event Date 08/10/2023
Event Type  malfunction  
Event Description
A patient care technician (pct) activated the hot pack and it began to leak on to their bare hands, the floor and clothing.No harm to pct.The pct activated a second hot pack and it also leaked.Both packs leaked along the seams of the pack but on different ends.
 
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Brand Name
CARDINAL HEALTH
Type of Device
PACK, HOT OR COLD, DISPOSABLE
Manufacturer (Section D)
CARDINAL HEALTH 200, LLC
3651 birchwood drive
waukegan IL 60085
MDR Report Key17681998
MDR Text Key322625454
Report Number17681998
Device Sequence Number1
Product Code IMD
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source User Facility
Reporter Occupation Risk Manager
Type of Report Initial
Report Date 08/14/2023
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Other
Device Model Number30104
Device Catalogue Number30104
Device Lot NumberVN23003-78
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Was the Report Sent to FDA? Yes
Date Report Sent to FDA08/14/2023
Event Location Hospital
Date Report to Manufacturer09/05/2023
Initial Date Manufacturer Received Not provided
Initial Date FDA Received09/05/2023
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Unknown
Patient Sequence Number1
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