FDA Adverse Event Malfunction Summary report: N

HEATER-COOLER 3T SYSTEM

MDR report key: 24112978 · Received January 20, 2026

Report

Report Number
9611109-2026-90017
Event Type
Malfunction
Date Received
January 20, 2026
Date of Event
December 22, 2025
Report Date
January 20, 2026
Manufacturer
LIVANOVA DEUTSCHLAND GMBH
Product Code
DWC
UDI-DI
04033817901099
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
EI
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A.1.-A.5. 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 DEUTSCHLAND MANUFACTURES THE HEATER COOLER 3T SYSTEM. THE EVENT OCCURED IN IRELAND. 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 NOT COOLING PROPERLY ON PATIENT SIDE. THE ISSUE OCCURRED DURING PROCEDURE. THERE IS NO REPORT OF PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
176654 HEATER-COOLER 3T SYSTEM CONTROLLER, TEMPERATURE, CARDIOPULMONARY BYPASS DWC LIVANOVA DEUTSCHLAND GMBH HEATER COOLER 3T 04033817901099

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown