FDA Adverse Event Malfunction Summary report: N

OLYMPIC COOL-CAP SYSTEM

MDR report key: 2449533 · Received February 1, 2012

Report

Report Number
3018859-2012-00001
Event Type
Malfunction
Date Received
February 1, 2012
Date of Event
January 4, 2012
Report Date
February 1, 2012
Manufacturer
NATUS MEDICAL INCORPORATED
Product Code
MXM
PMA / PMN Number
P040025
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
NURSE

Narratives

Additional Manufacturer Narrative · 1

NATUS MEDICAL INCORPORATED WILL SUBMIT A FOLLOW-UP REPORT TO FDA WHEN THE DEVICE INVESTIGATION / TESTING IS COMPLETED. (B)(4).

Description of Event or Problem · 1

INFANT BEING TREATED FOR NEONATAL HYPOXIC-ISCHEMIC ENCEPHALOPATHY WITH THE OLYMPIC COOL-CAP SYSTEM. APPROX 44 HOURS INTO TREATMENT, THE DEVICE EXHIBITED A SHUTDOWN CHARACTERIZED BY A FROZEN DISPLAY SCREEN. RECTAL TEMPERATURE WAS 35.5C WHEN ISSUE WAS DISCOVERED. DEVICE WAS REBOOTED AND TREATMENT CONTINUED WITHOUT FURTHER INCIDENT. THERE WAS NO PT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 OLYMPIC COOL-CAP SYSTEM COOLING CAP (INFANTS) MXM NATUS MEDICAL INCORPORATED 60010 NOT APPLICABLE

Patients

Seq Age Sex Outcome Treatment
1