FDA Adverse Event Malfunction Summary report: N

HEATER-COOLER SYSTEM

MDR report key: 23287689 · Received October 15, 2025

Report

Report Number
9611109-2025-90429
Event Type
Malfunction
Date Received
October 15, 2025
Date of Event
September 15, 2025
Report Date
May 20, 2026
Manufacturer
LIVANOVA DEUTSCHLAND GMBH
Product Code
DWC
UDI-DI
04033817901099
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER
Health Professional
N

Narratives

Additional Manufacturer Narrative · 0

A.1.-A.5. THERE IS NO REPORT OF ANY PATIENT INVOLVEMENT. 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 DEUTSCHLAND MANUFACTURES THE 3T HEATER COOLER BASED ON THE AVAILABLE INFORMATION, COOLING COIL EROSION, ALLOWING WATER INTO COMPRESSOR, IS SUSPECTED, 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 THAT A 3T HEATER COOLER TRIPS MAINS CIRCUIT BREAKERS IN THEATRES 20 SECONDS AFTER POWER UP. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
609277 HEATER-COOLER SYSTEM CONTROLLER, TEMPERATURE, CARDIOPULMONARY BYPASS DWC LIVANOVA DEUTSCHLAND GMBH HEATER COOLER 3T 04033817901099

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown