FDA Adverse Event Malfunction Summary report: N

GIRAFFE OMNIBED CARESTATION

MDR report key: 21595882 · Received March 13, 2025

Report

Report Number
3008729547-2025-00022
Event Type
Malfunction
Date Received
March 13, 2025
Date of Event
February 13, 2025
Report Date
April 30, 2025
Manufacturer
CRITIKON DE MEXICO S. DE R.L. DE C.V.
Product Code
FMZ
UDI-DI
00840682116862
PMA / PMN Number
K152814
Removal / Correction Number
Z-0047-2025 & Z-0048-202
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

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 REPORT OF PATIENT INVOLVEMENT. LEGAL MANUFACTURER: HCS RESEARCH PARK - 9900 INNOVATION DRIVE USA WAUWATOSA, WI 53226.

Additional Manufacturer Narrative · 0

ADDITIONAL INFORMATION WAS RECEIVED THAT THERE WAS DISENGAGEMENT OF THE SCREW THAT SECURES THE HEATER DOOR. THEREFORE, THE WAS NO REPORTABLE MALFUNCTION AND THE ISSUE WAS NO ASSOCIATED WITH FDA RECALL NUMBER IS Z-0047-2025 AND Z-0048-2025.

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 INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1586074 GIRAFFE OMNIBED CARESTATION INCUBATOR, NEONATAL FMZ CRITIKON DE MEXICO S. DE R.L. DE C.V. CS1 NA 00840682116862

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown