FDA Adverse Event Malfunction Summary report: N

GIRAFFE OMNIBED CARESTATION

MDR report key: 20987609 · Received December 20, 2024

Report

Report Number
3008729547-2024-00033
Event Type
Malfunction
Date Received
December 20, 2024
Date of Event
November 22, 2024
Report Date
March 11, 2025
Manufacturer
CRITIKON DE MEXICO S. DE R.L. DE C.V.
Product Code
FMZ
PMA / PMN Number
K152814
Removal / Correction Number
Z-0047-2025 & Z-0048-202
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
NY, US
Reporter Occupation
BIOMEDICAL ENGINEER
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION WAS RECEIVED THAT THE THERE IS NO DISENGAGEMENT OF THE TOP SCREW AND THERE IS NO FALL OF THE HEATER DOOR. THERE WAS NO REPORTABLE MALFUNCTION AND NO ASSOCIATION WITH FIELD MODIFICATION RELATED TO FDA RECALL NUMBER IS Z-0047-2025 & Z-0048-2025.

Additional Manufacturer Narrative · 0

GE HEALTHCARE (GEHC) REPORTED A FIELD MODIFICATION FOR THIS HEATER DOOR ISSUE PER 21 CFR 806 ON 22-OCT-2024. THE FDA RECALL NUMBER IS Z-0047-2025 & Z-0048-2025. CUSTOMERS WERE SENT A LETTER EXPLAINING THE ISSUE AND INSTRUCTIONS FOR INSPECTING, INSTALLING, AND TIGHTENING THE SCREW THAT SECURES THE HEATER DOOR. GEHC WILL REPLACE ALL AFFECTED UNITS. BLOCK A: NO PATIENT INFORMATION PROVIDED AFTER CALLS TO END USER 12/19/24 AND 12/20/24. D4 PRIMARY UDI NUMBER: THIS DEVICE WAS NOT MANUFACTURED FOR SALE IN THE USA AND THEREFORE A USA UDI IS NOT AVAILABLE. LEGAL MANUFACTURER: HCS RESEARCH PARK - 9900 INNOVATION DRIVE USA WAUWATOSA, WI 53226.

Description of Event or Problem · 0

THIS UNIT WAS IDENTIFIED AS HAVING AN ISSUE WITH THE HEATER DOOR THAT INDICATES IT MAY BE IMPACTED BY THE ISSUE BEING ADDRESSED AS PART OF CORRECTION AND REMOVAL INITIATED BY GE HEALTHCARE (GEHC) ON 22-OCT-2024 (Z-0047-2025 & Z-0048-2025). THERE WAS NO PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2061293 GIRAFFE OMNIBED CARESTATION INCUBATOR, NEONATAL FMZ CRITIKON DE MEXICO S. DE R.L. DE C.V. CS1 NA

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown