FDA Adverse Event
Malfunction
Summary report: N
HEATER-COOLER SYSTEM 3T
MDR report key: 24159244
·
Received January 23, 2026
Report
- Report Number
- 9611109-2026-90023
- Event Type
- Malfunction
- Date Received
- January 23, 2026
- Date of Event
- December 26, 2025
- Report Date
- January 23, 2026
- Manufacturer
- LIVANOVA DEUTSCHLAND GMBH
- Product Code
- DWC
- UDI-DI
- 04033817901136
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- JA
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
G.5. THE HEATER-COOLER 16-02-95 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). H.11 LIVANOVA DEUTSCHLAND MANUFACTURES THE HEATER-COOLER SYSTEM 3T. THE INCIDENT OCCURRED IN JAPAN. 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 THAT THE HEATER COOLER SYSTEM 3T DISPLAYED AN ERROR MESSAGE ASSOCIATED TO PUMP NOT STARTING (E05 CODE). THE ISSUE OCCURRED DURING SETUP. THERE IS NO REPORT OF PATIENT INJURY.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 222368 | HEATER-COOLER SYSTEM 3T | CONTROLLER, TEMPERATURE, CARDIOPULMONARY BYPASS | DWC | LIVANOVA DEUTSCHLAND GMBH | 3-KAMMER HYPO 200V 50/60HZ | 04033817901136 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |