OLYMPIC COOL-CAP SYSTEM 401351-505

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2016-09-09 for OLYMPIC COOL-CAP SYSTEM 401351-505 manufactured by Natus Medical Incorporated.

Event Text Entries

[54781630] Device return is anticipated. A follow-up report will be submitted when additional information is available.
Patient Sequence No: 1, Text Type: N, H10


[54781631] Customer called natus on (b)(6) 2016 stating that cool-cap device screen "shut down" and would not respond to any action. Natus contacted customer for additional information that would assist in making reportability decision, and on (b)(6) 2016, customer responded with a statement that device experienced a screen freeze with time clock stopping and no alarm was noted by the nurse. Customer was able to get the system started again after about 30 minutes and they did complete the treatment of the patient. There was no injury.
Patient Sequence No: 1, Text Type: D, B5


[68476645] The device was returned and evaluated. The system log indicates the device was functioning as intended and was delivering continuous therapy to the patient when the screen was frozen. Cooling sessions with a data capture system were ran for 720 hours without having any freeze events. The watchdog hardware was tested and demonstrated that the watchdog system was functioning correctly. A functional test procedure was performed and all items regarding the reported event passed. The system also reacted appropriately when temperature dropped below the lower control band and initiated alarm. The audible alarm and display circuitry are independent of each other, so it's probable that an audible alarm did occur. (b)(4) was unable to confirm the failure using information provided by the hospital, session data analysis, testing, or by direct or indirect observation of the failure. The failure was not duplicated throughout all testing. Additionally, no functional or performance problems were found with the cool-cap unit, as it operates fully within specification. Root cause cannot be determined. The device malfunction was found to be isolated to the display and the device continued to deliver the therapeutic cooling function, with exception for the time periods when the system was rebooting.
Patient Sequence No: 1, Text Type: N, H10


[68476646] Customer called (b)(4) on (b)(6) 2016 stating that cool-cap device screen "shut down" and would not respond to any action. (b)(4) contacted customer for additional information that would assist in making reportability decision, and on (b)(6) 2016, customer responded with a statement that device experienced a screen freeze with time clock stopping and no alarm was noted by the nurse. Customer was able to get the system started again after about 30 minutes and they did complete the treatment of the patient. There was no injury.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3018859-2016-00014
MDR Report Key5941082
Date Received2016-09-09
Date of Report2016-04-18
Date Mfgr Received2016-04-18
Device Manufacturer Date2010-03-01
Date Added to Maude2016-09-09
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 ContactJEFFREY MANTKOWSKI
Manufacturer Street5900 FIRST AVENUE SOUTH
Manufacturer CitySEATTLE WA 98108
Manufacturer CountryUS
Manufacturer Postal98108
Manufacturer Phone2062685143
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 Received2016-09-09
Returned To Mfg2016-09-09
Model Number401351-505
OperatorNURSE
Device AvailabilityR
Device AgeDA
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerNATUS MEDICAL INCORPORATED
Manufacturer Address5900 FIRST AVENUE SOUTH SEATTLE WA 98108 US 98108


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2016-09-09

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