FDA Adverse Event Malfunction Summary report: N

BLANKETROL III

MDR report key: 7137723 · Received December 21, 2017

Report

Report Number
7137723
Event Type
Malfunction
Date Received
December 21, 2017
Date of Event
November 12, 2017
Report Date
December 12, 2017
Manufacturer
CINCINNATI SUB-ZERO PRODUCTS, INC.
Product Code
DWJ
Product Problem
Yes
Report Source
User Facility report
Reporter Location
TN, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

THE CINCINNATI SUB-ZERO BLANKETROL III SYSTEM WAS BEING USED TO COOL BODY TEMPERATURE TO 33.5. THE BODY TEMPERATURE NEVER GOT BELOW 34.0. THE NURSE NOTICED THAT THERE WAS NO WATER IN THE COOLING BLANKET. THE CINCINNATI SUB-ZERO BLANKETROL III SYSTEM WAS SWITCHED OUT. NO UNTOWARD PATIENT EFFECTS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
917984 BLANKETROL III SYSTEM, THERMAL REGULATING DWJ CINCINNATI SUB-ZERO PRODUCTS, INC.

Patients

Seq Age Sex Outcome Treatment
1 1 YR