FDA Adverse Event Malfunction Summary report: N

HEATER-COOLER 3T SYSTEM

MDR report key: 23879611 · Received December 23, 2025

Report

Report Number
9611109-2025-90628
Event Type
Malfunction
Date Received
December 23, 2025
Date of Event
November 24, 2025
Report Date
December 23, 2025
Manufacturer
LIVANOVA DEUTSCHLAND
Product Code
DWC
UDI-DI
04033817901099
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN
Reporter Occupation
OTHER

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 3T HEATER COOLER SYSTEM. THE EVENT OCCURED IN (B)(6) INDIA. LIVANOVA HAS 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, SHOWING THE ERROR PUMP 1 IN THE PATIENT CIRCUIT WILL NOT START (E05). THE ERROR APPEARS INTERMITTENTLY AFTER REPLACING THE DISTRIBUTION BOARD AND CIRCULATION MOTOR. THERE IS NO REPORT OF PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2477315 HEATER-COOLER 3T SYSTEM CONTROLLER, TEMPERATURE, CARDIOPULMONARY BYPASS DWC LIVANOVA DEUTSCHLAND HEATER COOLER 3T 04033817901099

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown