FDA Adverse Event Malfunction Summary report: N

LEVEL 1®HOTLINE® 3 BLOOD AND FLUID WARMER

MDR report key: 8446373 · Received March 22, 2019

Report

Report Number
3012307300-2019-01518
Event Type
Malfunction
Date Received
March 22, 2019
Report Date
February 5, 2020
Manufacturer
SMITHS MEDICAL ASD, INC.
Product Code
BSB
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

EVALUATION RESULTS: THE HL-90 WAS RECEIVED IN FAIR CONDITION AND WAS MANUFACTURED IN 2015. THE DEVICE WAS FILLED WITH WATER, FITTED WITH TEMP CHECK E5580 DUE (B)(6) 2019, AND POWERED ON. ALL ALARMS WERE ACTIVATED AND APPEARED TO WORK VISUALLY WITH THE LED'S BUT THERE WAS NO AUDIBLE SOUND CONFIRMING THE CUSTOMER COMPLAINT. AFTER THE PCB PN 7012091 WAS REPLACED THE ALARMS WORKED FINE AND THE DEVICE OPERATED AS INTENDED. THE PROBLEM SOURCE OF THE REPORTED PRODUCT PROBLEM WAS UNKNOWN. A ROOT CAUSE WAS NOT ESTABLISHED.

Description of Event or Problem · 1

INFORMATION WAS RECEIVED THAT A SMITHS MEDICAL FLUID WARMER HAS NO AUDIBLE ALARM.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
237266 LEVEL 1®HOTLINE® 3 BLOOD AND FLUID WARMER WARMER, BLOOD, NON-ELECTROMAGNETIC RADIATION BSB SMITHS MEDICAL ASD, INC.

Patients

Seq Age Sex Outcome Treatment
1