NOVAPLUS V11443-012BRecalls & reported problems
Cardinal Health 200, LLC · Hot Pack Instant · Class 1
- Adverse event reports
- 7
- Deaths reported
- 0
- Injuries reported
- 0
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 7 adverse event reports that list this exact device (DI 10885380167218), received between Aug 27, 2021 and Aug 18, 2023 — classified as 7 malfunctions.
The most frequently reported specific device problem is “Burst Container or Vessel” (7 reports).
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. How this data works · Data updated Oct 13, 2026.
Most reported problems
Device problems
- Burst Container or Vessel7
Patient problems
- No Clinical Signs, Symptoms or Conditions6
- Skin Burning Sensation1
Recent adverse event reports
The 7 most recent of 7 reports, in the reporter's own words as published by the FDA.
MalfunctionAug 18, 2023Burst Container or Vessel; Burst Container or Vessel
CUSTOMER REPORTED THAT THE HOT PACK EXPLODED ON A NURSE. NO FURTHER INFORMATION WAS PROVIDED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 17578396 ↗MalfunctionApr 7, 2023Burst Container or Vessel; Burst Container or Vessel
THE CUSTOMER HAS REPORT THE ISSUE OF HOT PACKS RUPTURING AND SPILLING THEIR CONTENTS UPON ACTIVATION.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 16704236 ↗MalfunctionMar 30, 2023Burst Container or Vessel; Burst Container or Vessel
COMPLAINT RECEIVED ON MEDWATCH REPORT, (B)(4). CUSTOMER REPORTED THAT WHEN A PATIENT NEEDED A HOT PACK FOR AN IV START, THE RN WENT TO ACTIVATE IT BY SQUEEZING AND IT BURST. THERE WAS NO INJURY TO THE PATIENT. THE GEL LANDED ON THE TEAM MEMBERS SKIN WITHOUT ANY INJURY.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 16649716 ↗MalfunctionMay 4, 2022Burst Container or Vessel; Burst Container or Vessel
WE HAD ANOTHER PACKAGE OPEN UP AND SPILL ON EMPLOYEE¿S HAND. NO INJURY; HOWEVER, IT DID GET ALL OVER HER HAND AND WAS PRETTY HOT. SHE IMMEDIATELY WASHED THE CONTENTS OFF.
Patient problems: Skin Burning Sensation
MAUDE report 14278539 ↗MalfunctionApr 20, 2022Burst Container or Vessel; Burst Container or Vessel
CUSTOMER REPORTED THAT THE RN SQUEEZED A HOT PACK TO ACTIVATE, THE HOT PACK BURST, SPILLING CONTENTS ON HER PANTS, SHOES, AND SCRUB JACKET. THERE WAS NO CONTACT WITH SKIN, NO INJURY OR MEDICAL TREATMENT REQUIRED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 14161326 ↗MalfunctionOct 20, 2021Burst Container or Vessel; Burst Container or Vessel
CUSTOMER REPORTED THROUGH MEDWATCH UF/IMPORTER REPORT # (B)(4) THAT WHEN THE NURSE WAS ACTIVATING THE HOT PACK, IT EXPLODED. THERE WAS NO REPORTED INJURY TO THE NURSE. THE PATIENT WAS NOT IN THE ROOM. NO FURTHER INFORMATION WAS PROVIDED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 12668732 ↗MalfunctionAug 27, 2021Burst Container or Vessel; Burst Container or Vessel
CUSTOMER REPORTED HOT PACK BURST AND CONTENTS LANDED ON TEAM MEMBER'S HAND AND SLEEVE OF LAB COAT. THE TEAM MEMBER INVOLVED REPORTED THAT THE HOT PACK WAS NOT YET ACTIVATED, BUT TWO TEAM MEMBERS REPORTEDLY HEARD A POPPING SOUND JUST PRIOR TO THE PACK BURSTING. THE TEAM MEMBER EXPERIENCED A BURNING SENSATION. NO MEDICATIONS OR TREATMENT PROVIDED, TEAM MEMBER RINSED CONTENTS OFF.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 12380602 ↗
Other PACK, HOT OR COLD, DISPOSABLE devices
- ThermaCare HeatWraps ThermaCare HeatWraps - Lower Back & HipPfizer Inc. · PACK, HOT OR COLD, DISPOSABLE196 reports
- NOVAPLUS V11460-010Cardinal Health 200, LLC · PACK, HOT OR COLD, DISPOSABLE1 recall16 reports
- CARDINAL HEALTH 11443-012BCardinal Health 200, LLC · PACK, HOT OR COLD, DISPOSABLE56 reports
- ThermaCare HeatWraps ThermaCare HeatWraps - Lower Back & HipPfizer Inc. · PACK, HOT OR COLD, DISPOSABLE37 reports
- ThermaCare HeatWraps ThermaCare HeatWraps - Neck, Wrist & ShoulderPfizer Inc. · PACK, HOT OR COLD, DISPOSABLE1 death31 reports
- CARDINAL HEALTH 11450-040Cardinal Health 200, LLC · PACK, HOT OR COLD, DISPOSABLE20 reports
- ThermaCare HeatWraps ThermaCare HeatWraps - Lower Back & HipPfizer Inc. · PACK, HOT OR COLD, DISPOSABLE14 reports
- Medline MDS139008Medline Industries, Inc. · PACK, HOT OR COLD, DISPOSABLE13 reports
Sources: FDA GUDID, MAUDE and Medical Device Recalls via openFDA. openFDA data is not validated for clinical or regulatory use.