FDA Adverse Event Malfunction Summary report: N

BABY CONTROL COSYCOT INFANT WARMER

MDR report key: 5209742 · Received November 8, 2015

Report

Report Number
9611451-2015-00465
Event Type
Malfunction
Date Received
November 8, 2015
Date of Event
October 17, 2015
Report Date
October 20, 2015
Manufacturer
FISHER & PAYKEL HEALTHCARE LIMITED
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). METHOD: THE COMPLAINT IW934JEU BABY CONTROL COSYCOT INFANT WARMER WAS NOT RETURNED TO FISHER & PAYKEL HEALTHCARE FOR INVESTIGATION. OUR ANALYSIS IS ACCORDINGLY BASED ON THE PHOTOGRAPH PROVIDED BY THE HEALTHCARE FACILITY AND RESULTS OF OUR PREVIOUS INVESTIGATIONS ON SIMILAR COMPLAINTS. RESULTS: THE PHOTOGRAPH SHOWED THAT THERE WAS A NOTICEABLE BIG CRACK AT THE CENTRE OF THE PLASTIC BASE COLUMN. IT ALSO SHOWED THAT THE SUBJECT INFANT WARMER WAS LOADED WITH TWO LARGE GAS BOTTLES AND A UPS MACHINE. A LOT CHECK REVEALED ONE OTHER COMPLAINT OF THIS NATURE FOR LOT NUMBER 070205. CONCLUSION: CRACKING OF THE COSYCOT INFANT WARMER PLASTIC BASE CAN OCCUR FROM OVERLOADING. IN THIS INSTANCE, THE APPROXIMATE COMBINED WEIGHT OF THE INFANT WARMER UNIT AND ITS ACCESSORIES POSSIBLY EXCEEDED THE RECOMMENDED MAXIMUM LOAD. THE MAXIMUM WEIGHT LIMIT IS SPECIFIED IN THE OPERATING MANUAL AND IN THE PRODUCT TECHNICAL MANUAL OF THE COSYCOT INFANT WARMER. TO INCREASE AWARENESS AND TO PREVENT AND/OR REDUCE THE INCIDENCE OF CRACKED PLASTIC BASES, FPH STATES THAT THE MAXIMUM WEIGHT ON THE INFANT WARMER INCLUSIVE OF ALL ACCESSORIES AND THE PATIENT SHOULD NOT EXCEED 115KG. THIS WARNING IS PROVIDED IN THE FORM OF LABELS ON THE COLUMN OF THE INFANT WARMER. IN ADDITION, A CHECKLIST OF COMMON FISHER & PAYKEL HEALTHCARE ACCESSORIES AND THEIR RESPECTIVE WEIGHTS IS PROVIDED TO THE USER.

Description of Event or Problem · 1

A HEALTHCARE FACILITY IN (B)(6) REPORTED TO A DISTRIBUTOR THAT THE PLASTIC BASE OF AN IW934JEU BABY CONTROL COSYCOT INFANT WARMER WOULD NOT RISE. THIS WAS OBSERVED BEFORE USE ON A PATIENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
739790 BABY CONTROL COSYCOT INFANT WARMER FMT FMT FISHER & PAYKEL HEALTHCARE LIMITED IW934JEU

Patients

Seq Age Sex Outcome Treatment
1