OLYMPIC COOL-CAP SYSTEM 401701-501

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,user faci report with the FDA on 2016-08-17 for OLYMPIC COOL-CAP SYSTEM 401701-501 manufactured by Natus Medical Incorporated.

Event Text Entries

[52381422] As of 08/09/2016, device has not been returned to natus for evaluation. Device return is anticipated. A follow-up report will be submitted when additional information is available.
Patient Sequence No: 1, Text Type: N, H10


[52381423] Customer stated that the patient developed pressure sores (fat necrosis caused by tissue damaged by the cold) on head and was admitted for further treatment.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3018859-2016-00003
MDR Report Key5884909
Report SourceHEALTH PROFESSIONAL,USER FACI
Date Received2016-08-17
Date of Report2016-07-19
Date Mfgr Received2016-07-19
Device Manufacturer Date2010-01-12
Date Added to Maude2016-08-17
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactSVETLANA ROMANETS
Manufacturer Street5900 FIRST AVENUE SOUTH
Manufacturer CitySEATTLE WA 98108
Manufacturer CountryUS
Manufacturer Postal98108
Manufacturer Phone2062685170
Manufacturer G1NATUS MEDICAL INCORPORATED
Manufacturer Street5900 FIRST AVENUE SOUTH
Manufacturer CitySEATTLE WA 98108
Manufacturer CountryUS
Manufacturer Postal Code98108
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameOLYMPIC COOL-CAP SYSTEM
Generic NameCOOL CAP
Product CodeMXM
Date Received2016-08-17
Model Number401701-501
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerNATUS MEDICAL INCORPORATED
Manufacturer Address5900 FIRST AVENUE SOUTH SEATTLE WA 98108 US 98108


Patients

Patient NumberTreatmentOutcomeDate
101. Other; 2. Required No Informationntervention 2016-08-17

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