FDA Adverse Event Malfunction Summary report: N

GIRAFFE WARMER

MDR report key: 8621645 · Received May 17, 2019

Report

Report Number
1121732-2019-00055
Event Type
Malfunction
Date Received
May 17, 2019
Date of Event
April 19, 2019
Report Date
May 16, 2019
Manufacturer
OHMEDA MEDICAL
Product Code
FMT
PMA / PMN Number
K123309
Removal / Correction Number
FMI32067
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OR, US
Reporter Occupation
BIOMEDICAL ENGINEER

Narratives

Additional Manufacturer Narrative · 1

NO PATIENT INFORMATION PROVIDED AFTER THREE CALLS (B)(6) 2019. GE HEALTHCARE (GEHC) REPORTED A FIELD MODIFICATION FOR THIS ISSUE PER 21 CFR 806 ON 20 MARCH 2019. THE GEHC INTERNAL FIELD MODIFICATION NUMBER IS (B)(4). CUSTOMERS WERE SENT A LETTER EXPLAINING THE ISSUE AND REQUESTING THE CUSTOMER TO INSPECT THE WARMER BEDSIDE PANEL LATCH AREAS. REPLACEMENT OF BROKEN BEDSIDE PANELS WILL BE PROVIDED BY GEHC. A SET OF WARNING LABELS WILL BE SUPPLIED FOR APPLICATION TO THE BEDSIDE PANELS. THESE LABELS WILL WARN THE USER TO NOT USE THE BEDSIDE PANELS FOR MANEUVERING THE WARMER AND INDICATE THE CORRECT METHOD OF MANEUVERING THE WARMER. AN ADDENDUM TO THE OPERATION AND MAINTENANCE MANUAL WILL ALSO BE PROVIDED EMPHASIZING THE NEED TO CHECK AND ENSURE THAT THE BEDSIDE PANELS AND LATCHES ARE NOT CRACKED, BROKEN, OR DAMAGED BEFORE EVERY PATIENT USE. THE ADDENDUM WILL ALSO CONTAIN INSTRUCTIONS TO INCREASE DETECTABILITY OF BROKEN OR CRACKED BEDSIDE PANELS.

Description of Event or Problem · 1

THE HOSPITAL REPORTED SMALL CRACKS AT THE LATCH POINT OF THE RIGHT SIDE PANEL WHICH COULD CAUSE A PATIENT FALL. THERE WAS NO REPORT OF PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
414180 GIRAFFE WARMER WARMER, INFANT RADIANT FMT OHMEDA MEDICAL M1118179

Patients

Seq Age Sex Outcome Treatment
1