FDA Adverse Event Malfunction Summary report: N

HEATER COOLER 3T SYSTEM

MDR report key: 23706244 · Received December 3, 2025

Report

Report Number
9611109-2025-90571
Event Type
Malfunction
Date Received
December 3, 2025
Date of Event
November 3, 2025
Report Date
June 10, 2026
Manufacturer
LIVANOVA DEUTSCHLAND
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

. 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 HEATER COOLER 3T SYSTEM, THE EVENT OCCURRED IN UNITED KINGDOM. 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 REGARDING A HEATER COOLER 3T SYSTEM THAT WAS INTERMITTENTLY LOSING POWER WHILE ARCING NOISES WERE HEARD FROM THE PLUG. THE ISSUE OCCURRED DURING SERVICE. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2857639 HEATER COOLER 3T SYSTEM CONTROLLER, TEMPERATURE, CARDIOPULMONARY BYPASS DWC LIVANOVA DEUTSCHLAND HEATER COOLER 3T 04033817901099

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown