FDA Adverse Event Malfunction Summary report: N

HEATER-COOLER SYSTEM

MDR report key: 23188645 · Received October 1, 2025

Report

Report Number
9611109-2025-90396
Event Type
Malfunction
Date Received
October 1, 2025
Date of Event
September 1, 2025
Report Date
May 21, 2026
Manufacturer
LIVANOVA DEUTSCHLAND
Product Code
DWC
PMA / PMN Number
N.A.
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A1 TO A5: PATIENT INFORMATION WAS NOT PROVIDED. G.5. THE HEATER-COOLER 16-02-80 IS NOT DISTRIBUTED IN THE USA AND IT IS SIMILAR TO HEATER-COOLER 16-02-85, WHICH IS DISTRIBUTED IN THE USA (510(K) NUMBER: K220635). H11: LIVANOVA INITIATED AN INVESTIGATION. IF ANY ADDITIONAL INFORMATION PERTINENT TO THE REPORTED EVENT IS RECEIVED, IT WILL BE PROVIDED IN A SUPPLEMENTAL REPORT.

Description of Event or Problem · 0

LIVANOVA DEUTSCHLAND RECEIVED A REPORT OF A 3T HEATER/COOLER SHOWING ERROR MESSAGES ONTO DISPLAY E16 AND E18, CONCERNING PATIENT CIRCUIT. THE ISSUE OCCURRED DURING PROCEDURE. THERE WAS NO PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
14228 HEATER-COOLER SYSTEM CONTROLLER, TEMPERATURE, CARDIOPULMONARY BYPASS DWC LIVANOVA DEUTSCHLAND

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown