FDA Adverse Event Malfunction Summary report: N

KOOL KIT

MDR report key: 1734186 · Received June 15, 2010

Report

Report Number
1734186
Event Type
Malfunction
Date Received
June 15, 2010
Date of Event
June 7, 2010
Report Date
June 15, 2010
Manufacturer
CINCINNATI SUB-ZERO PRODUCTS, INC.
Product Code
DWJ
Product Problem
Yes
Report Source
User Facility report
Reporter Location
CT, US

Narratives

Description of Event or Problem · 1

THE ICU EXPERIENCED SEVERAL EPISODES OF THE HYPOTHERMIA BLANKETS LEAKING. MOST OF THE BLANKETS WERE THE TOP BLANKET SOME WERE BOTTOM BLANKETS. THE LEAK WAS LARGE ON SOME OF THE EPISODES RESULTING IN THE WHOLE BED BEING CHANGED.HEALTH PROFESSIONAL'S IMPRESSION:THE NURSES FEEL IT WAS A DEFECT IN THE BLANKET.MANUFACTURER RESPONSE FOR KIT,HYPOTHERMIA BLANKET, KOOL KIT:MANUFACTURER FELT THIS WAS USER ERROR BUT THERE HAS BEEN NO RHYME OR REASON TO THE BLANKETS SPRINGING A LEAK. IT HAS BEEN THE VEST BOTH TOP AND BOTTOM AS WELL AS THE BLANKET. IT HAS BEEN AT ALL DIFFERENT TIMES, WHEN INITIATING, MIDWAY THROUGH AND AT THE END. BLANKETS SHOULD LAST 68-72 HOURS BUT ARE LASTING ANYWHERE FROM 12-48 HOURS. THE NURSES HAD AN INSERVICE BY THE REP, SO THEY KNOW HOW TO USE THE DEVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 KOOL KIT HYPOTHERMIA BLANKET DWJ CINCINNATI SUB-ZERO PRODUCTS, INC. * 8614

Patients

Seq Age Sex Outcome Treatment
1 *