CAPITAL BLOOD/FLUID WARMER FW603

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-02-03 for CAPITAL BLOOD/FLUID WARMER FW603 manufactured by Stryker Medical-kalamazoo.

Event Text Entries

[37681868] The customer reported a temperature control issue with the fluid warmer. They further reported that the temperature that the machine was warming to was approximately 47 degrees celsius, which appeared to exceed that which was stated by the machine 42 degrees celsius. This was noticed by staff who where observing that the machine was running at a higher temperature than it was set to. The machine was immediately switched off and another machine from the fleet was used instead. There were no adverse consequences or injury for the patient.
Patient Sequence No: 1, Text Type: D, B5


[50744395] The device was evaluated and repaired by a third party repair facility.
Patient Sequence No: 1, Text Type: N, H10


[50744396] The customer reported a temperature control issue with the fluid warmer. They further reported that the temperature that the machine was warming to was approximately 47 degrees celsius, which appeared to exceed that which was stated by the machine 42 degrees celsius. This was noticed by staff who where observing that the machine was running at a higher temperature than it was set to. The machine was immediately switched off and another machine from the fleet was used instead. There were no adverse consequences or injury for the patient.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number0001831750-2016-00023
MDR Report Key5407929
Date Received2016-02-03
Date of Report2016-01-07
Date of Event2016-01-04
Date Mfgr Received2016-01-07
Device Manufacturer Date2012-05-07
Date Added to Maude2016-02-03
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationBIOMEDICAL ENGINEER
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMR. BRIAN THOMPSON
Manufacturer Street3800 EAST CENTRE AVENUE
Manufacturer CityPORTAGE MI 49002
Manufacturer CountryUS
Manufacturer Postal49002
Manufacturer Phone2693292100
Manufacturer G1STRYKER MEDICAL-KALAMAZOO
Manufacturer Street3800 EAST CENTRE AVENUE
Manufacturer CityPORTAGE MI 49002
Manufacturer CountryUS
Manufacturer Postal Code49002
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameCAPITAL BLOOD/FLUID WARMER
Generic NameDEVICE, WARMING. BLOOD AND PLASMA
Product CodeKZL
Date Received2016-02-03
Catalog NumberFW603
Device AvailabilityY
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerSTRYKER MEDICAL-KALAMAZOO
Manufacturer Address3800 EAST CENTRE AVENUE PORTAGE MI 49002 US 49002


Patients

Patient NumberTreatmentOutcomeDate
10 2016-02-03

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