FDA Adverse Event Malfunction Summary report: N

3T HEATER/COOLER

MDR report key: 24637363 · Received March 19, 2026

Report

Report Number
9611109-2026-90100
Event Type
Malfunction
Date Received
March 19, 2026
Date of Event
February 17, 2026
Report Date
March 19, 2026
Manufacturer
LIVANOVA DEUTSCHLAND
Product Code
DWC
UDI-DI
04033817901099
PMA / PMN Number
K220635
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

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 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 OF A 3T HEATER/COOLER WHOSE PATIENT PUMP COULD NOT RETRIEVE PROPER FLOW, AND ERROR MESSAGE E16 WAS CONSEQUENTLY DISPLAYED. THE EVENT OCCURRED DURING PROCEDURE. THERE WAS NO PATIENT IMPACT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
698695 3T HEATER/COOLER CONTROLLER, TEMPERATURE, CARDIOPULMONARY BYPASS DWC LIVANOVA DEUTSCHLAND HEATER COOLER 3T 04033817901099

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown