FDA Adverse Event Malfunction Summary report: N

GIRAFFE OMNIBED CARESTATION

MDR report key: 22060026 · Received May 21, 2025

Report

Report Number
2112667-2025-04235
Event Type
Malfunction
Date Received
May 21, 2025
Date of Event
November 15, 2024
Report Date
May 21, 2025
Manufacturer
DATEX-OHMEDA, INC.
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
CO, 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.

Description of Event or Problem · 0

AS A RESULT OF AN INSPECTION THAT WAS COMPLETED AS PART OF CORRECTION AND REMOVAL INITIATED BY GE HEALTHCARE (GEHC) ON 22-OCT-2024 (RECALL NO. Z-0047-2025 & Z-0048-2025), THIS UNIT WAS IDENTIFIED AS HAVING AN ISSUE WITH THE HEATER DOOR THAT INDICATES IT MAY BE IMPACTED BY THE ISSUE DESCRIBED IN THE RECALL NO. Z-0047-2025 & Z-0048-2025. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
81622 GIRAFFE OMNIBED CARESTATION INCUBATOR, NEONATAL FMZ DATEX-OHMEDA, INC. CS1 NA 00840682116862

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown