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 |