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 |