FDA Adverse Event Malfunction Summary report: N

COSYCOT INFANT WARMER

MDR report key: 2865038 · Received September 30, 2010

Report

Report Number
9611451-2010-00820
Event Type
Malfunction
Date Received
September 30, 2010
Report Date
September 2, 2010
Manufacturer
FISHER & PAYKEL HEALTHCARE, LTD.
Product Code
FMT
PMA / PMN Number
K971695
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

(B)(4). WE ARE CURRENTLY IN THE PROCESS OF OBTAINING FURTHER INFO FROM THE HOSP IN ORDER TO ASSIST US WITH THE ANALYSIS AND IDENTIFICATION OF A POSSIBLE ROOT CAUSE OF THE REPORTED EVENT. WE WILL PROVIDE A F/U REPORT ONCE WE RECEIVE FURTHER INFO FROM THE HOSP AND HAVE COMPLETED OUR ANALYSIS.

Description of Event or Problem · 1

A HOSP IN (B)(6) REPORTED TO A FISHER & PAYKEL HEALTHCARE'S (FPH) SERVICE ENGINEER IN OUR US OFFICE THAT THE BASES OF 10 IW934JEU COSYCOT INFANT WARMERS WERE LEANING TOWARDS ONE SIDE. NO PT CONSEQUENCE WAS REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 COSYCOT INFANT WARMER FMT FISHER & PAYKEL HEALTHCARE, LTD. IW934JEU

Patients

Seq Age Sex Outcome Treatment
1