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