FDA Adverse Event Malfunction Summary report: N

HEATER-COOLER 3T SYSTEM

MDR report key: 24697332 · Received March 26, 2026

Report

Report Number
9611109-2026-90111
Event Type
Malfunction
Date Received
March 26, 2026
Date of Event
February 27, 2026
Report Date
March 26, 2026
Manufacturer
LIVANOVA DEUTSCHLAND GMBH
Product Code
DWC
UDI-DI
04033817901099
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IT
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A.1.-A.5. PATIENT INFORMATION WAS NOT PROVIDED. 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 DEUTSCHLAND MANUFACTURES THE HEATER-COOLER 3T SYSTEM. THE INCIDENT OCCURRED IN ITALY. LIVANOVA HAS 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 A HEATER-COOLER SYSTEM 3T WAS NOISY AND TRIPPED THE MAINS POWER SUPPLY DURING CLEANING ACTIVITY. THERE WAS NO PATIENT INVOLVEMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
762266 HEATER-COOLER 3T SYSTEM CONTROLLER, TEMPERATURE, CARDIOPULMONARY BYPASS DWC LIVANOVA DEUTSCHLAND GMBH HEATER COOLER 3T 04033817901099

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown