FDA Adverse Event Malfunction Summary report: N

COSYCOT INFANT WARMER

MDR report key: 1628457 · Received March 5, 2010

Report

Report Number
9611451-2010-00113
Event Type
Malfunction
Date Received
March 5, 2010
Date of Event
February 4, 2010
Report Date
February 4, 2010
Manufacturer
FISHER & PAYKEL HEALTHCARE, LTD.
Product Code
FMT
PMA / PMN Number
K971695
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Additional Manufacturer Narrative · 1

(B)(4). THE COMPLAINT DEVICE WAS NOT RECEIVED BY FISHER & PAYKEL HEALTHCARE (B)(4), HOWEVER AN INVESTIGATION WAS CARRIED OUT BASED ON THE INFO PROVIDED BY THE CUSTOMER AND OUR KNOWLEDGE OF SIMILAR COMPLAINTS. RESULTS: ALTHOUGH NO COMPLAINT DEVICE NOR COMPONENTS WERE RETURNED TO FISHER & PAYKEL HEALTHCARE FOR TESTING, IT WAS REPORTED THAT THE CAPACITOR ON THE BOARD WAS REPLACED AND THE POWER FAIL ALARM NOW FUNCTIONS PROPERLY. A LOT CHECK REVEALED NO OTHER COMPLAINTS OF THIS NATURE FOR LOT NUMBER 030704. CONCLUSION: THE POWER FAILURE COMPONENT OF THE INFANT WARMER CONTAINS A CAPACITOR WHICH STORES SUFFICIENT ELECTRICAL CHARGE TO POWER THE INFANT WARMER'S VISUAL AND AUDIBLE ALARM IN THE EVENT OF A FAILURE OF MAIN POWER. THE POWER FAIL ALARM CAPACITOR IS TESTED AS A PART OF THE WARMER'S ANNUAL MAINTENANCE CHECK AND REPLACED IF REQUIRED. THERE WERE NO PT CONSEQUENCES REPORTED IN RELATION TO THIS COMPLAINT.

Description of Event or Problem · 1

A HOSPITAL IN (B)(6) REPORTED THAT THE POWER FAIL ALARM ON AN IW930 COSYCOT INFANT WARMER WAS NOT WORKING. THE CUSTOMER HAD OBSERVED THIS FAULT DURING A PREVENTATIVE MAINTENANCE CHECK.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 COSYCOT INFANT WARMER FMT FISHER & PAYKEL HEALTHCARE, LTD. IW930 030704

Patients

Seq Age Sex Outcome Treatment
1