MAUDE Adverse Event Report: BELMONT MEDICAL TECHNOLOGIES CUREWRAP¿ INFANT, 4-7KG (SINGLE); THERMAL REGULATING SYSTEM

Model Number	508-03521R
Medical Device Problem Codes	Leak/Splash (1354); Material Puncture/Hole (1504)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	06/13/2025
Type of Reportable Event	Malfunction
Event or Problem Description
It was reported that, "cooling blanket "popped" and water drained everywhere" during a case.The patient was not harmed".
Additional Manufacturer Narrative
The internal complaint file #(b)(4) has been logged for this incident for traceability.The wrap involved in this incident is not yet returned to belmont for investigation.There is no patient impact as a result of the alleged incident.The operator's manual informs the user, "if moisture or leaks are discovered in the connecting hose and/or wrap, turn off the criticool device, disconnect the power cable from its power source, and correct the problem before proceeding." the manual also provides a troubleshooting guide for water leaks, as well as the following warning statement: "water may drip from the inlet tubes of the wraps.Be sure that no electrical device or outlet is located under the criticool's water inlet or wrap tubes.When disconnecting wraps from the criticool confirm that the clamps are tight, to prevent water leaking from the wrap."all curewraps are 100% leak tested by the manufacturer prior to release for shipment.The wraps involved in the incident have not been returned for investigation to this point.Retain samples from the lots involved were leak tested and found to function without any issue.Belmont is currently waiting on return of curewrap.Without results of the device investigation, no final conclusions can be drawn.A follow-up report will be submitted once the investigation is complete and additional information becomes available.
Additional Manufacturer Narrative
The cited wrap was returned and investigated by belmont engineering.The wrap was found to leak slowly after approximately 10 minutes of use.However, the exact location of the leak could not be determined after extensive visual inspection.A retain sample from the same lot was tested and no issues were identified with the sample.The lot history was reviewed and no other complaints were identified.All cure wraps are 100% visually inspected and pressure tested prior to release.A precise root cause could not be determined.We will continue to monitor this type of incident and take further corrective and preventive actions if required.

• Brand Name: CUREWRAP¿ INFANT, 4-7KG (SINGLE)
• Common Device Name: THERMAL REGULATING SYSTEM
• Manufacturer (Section D): BELMONT MEDICAL TECHNOLOGIES; 780 boston road; billerica MA 01821
• Manufacturer (Section G): BELMONT MEDICAL TECHNOLOGIES; 780 boston road; billerica MA 01821
• Manufacturer Contact: urja jani ; 780 boston road; billerica, MA 01821
• MDR Report Key: 22707195
• Report Number: 1219702-2025-00036
• Device Sequence Number: 21072416
• Product Code: DWJ
• UDI-Device Identifier: 17290012127196
• UDI-Public: 17290012127196
• Combination Product (Y/N): N
• Initial Reporter Country: CA
• PMA/510(K) Number: K083662
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Serviced by Third Party (Y/N): Unknown
• Reporter Type: Manufacturer
• Report Source: Foreign,Health Professional,Distributor
• Initial Reporter Occupation: Other Health Care Professional
• Remedial Action: Inspection
• Type of Report: Initial,Followup
• Report Date (Section B): 10/01/2025

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
• Operator of Device: Health Professional
• Device Model Number: 508-03521R
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 07/03/2025
• Supplement Date Received by Manufacturer: Not provided
• Initial Report FDA Received Date: 08/04/2025
• Supplement Report FDA Received Date: 10/02/2025
• Was Device Evaluated by Manufacturer? (Y/N): No
• Is the Device Labeled for Single Use? (Y/N): Yes
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Usage of Device: Reuse
• Patient Sequence Number: 1
• Patient Sex: Unknown