FDA Adverse Event Malfunction Summary report: N

BABY CONTROL MOBILE INFANT WARMER

MDR report key: 2133343 · Received June 20, 2011

Report

Report Number
9611451-2011-00364
Event Type
Malfunction
Date Received
June 20, 2011
Report Date
May 25, 2011
Manufacturer
FISHER & PAYKEL HEALTHCARE LTD
Product Code
FMT
PMA / PMN Number
K971695
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
PA, US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). METHOD: THE COMPLAINT DEVICE WAS RECEIVED AT FISHER & PAYKEL HEALTHCARE'S (FPH'S) (B)(4) OFFICE, WHERE IT WAS EXAMINED BY A TRAINED FPH SERVICE TECHNICIAN. RESULTS: IT WAS FOUND THAT THE HEATER HEAD WAS PHYSICALLY DAMAGED. PHOTOGRAPHS WERE PROVIDED TO THE MANUFACTURER, SHOWING MULTIPLE CRACKS ON BOTH SIDES OF THE UPPER CASE. CRAZING WAS ALSO EVIDENT AROUND THIS AREA. THE LOWER MOULDED CASE ALSO SHOWED SOME CRACKS, POSSIBLY CAUSED BY IMPACT DAMAGE. A NEW HEATER HEAD HOUSING WAS FITTED TO THE UNIT. AND THE INFANT WARMER IS BACK IN SERVICE. A LOT CHECK REVEALED NO OTHER COMPLAINTS FOR THIS LOT NUMBER. CONCLUSION: THE MOBILE INFANT WARMER PROVIDES MOBILE WARMING WHEREVER NEEDED. IT CAN BE SUSCEPTIBLE TO IMPACT DAMAGE PARTICULARLY IF IT IS MOVED FROM ONE ROOM TO ANOTHER OR IF THE HEAD IS SWIVELED. IT IS ALSO POSSIBLE THAT THE CRACKING IS RELATED TO A KNOWN PROBLEM OF INCOMPATIBLE CLEANING SOLUTIONS REACTING WITH THE POLYCARBONATE PLASTIC AND ACRYLIC COMPONENTS OF THE INFANT WARMER. THE INFANT WARMER SERVICE MANUAL FOR THE AFFECTED UNITS FEATURES A DIAGRAM OF THE INFANT WARMER WHICH HIGHLIGHTS POLYCARBONATE AND ACRYLIC COMPONENTS AND STATES THE FOLLOWING: CAUTION DO NOT CLEAN THE HIGHLIGHTED PLASTIC SURFACES WITH PROPRIETARY CLEANING PRODUCTS CONTAINING EITHER HYDROXIDES, HYPOCHLORITES, PEROXIDES, GLUTARALDEHYDE OR CLEANING PRODUCTS WITH A GREATER THAN 30% ALCOHOL BASE; CAUTION THE CHEMICALS USED IN THESE PROPRIETARY CLEANING PRODUCTS MAY LEAD TO DISCOLOURATION, CRAZING AND EVENTUAL CRACKING OF THE HIGHLIGHTED PLASTIC SURFACES. AS PART OF CONTINUOUS IMPROVEMENT, WE HAVE SINCE REVISED OUR CLEANING INSTRUCTIONS TO RECOMMEND SPECIFIC PROPRIETARY CLEANING WIPES. REPAIRED AND RETURNED TO THE CUSTOMER.

Description of Event or Problem · 1

A HOSPITAL IN (B)(6) REPORTED THAT THE HEATER HEAD OF AN IW910 MOBILE INFANT WARMER WAS DETERIORATED. NO PATIENT CONSEQUENCE WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 BABY CONTROL MOBILE INFANT WARMER FMT FMT FISHER & PAYKEL HEALTHCARE LTD IW910 081113001743

Patients

Seq Age Sex Outcome Treatment
1