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 user facility report with the FDA on 2016-09-09 for OLYMPIC COOL-CAP SYSTEM 401701-501 manufactured by Natus Medical Incorporated.

Event Text Entries

[54406596] After multiple attempts for additional information, natus was unable to obtain any other details regarding this incident. Customer is not responding to the follow-up attempts. Device is not available for evaluation investigation cannot be performed with the information available to natus. If additional information becomes available and device returned for evaluation and investigation, supplemental report will be submitted. No response from the customer.
Patient Sequence No: 1, Text Type: N, H10


[54406597] Customer stated that staff reported unit would not cool patient. Customer noted that patient was moved to a different cool-cap system in order to continue treatment. There was no injury. At a later time, for two hours customer was attempting to duplicate issue. Per customer, issue could not be duplicated, and device functioned as expected. After multiple attempts for additional information, natus was unable to obtain any other details regarding this incident.
Patient Sequence No: 1, Text Type: D, B5


[66908123] Device was evaluated by (b)(4). Specific system parameters (temperatures, trends, alarms, etc. ) and environmental conditions were not provided by the customer. A hospital biomed reportedly ran the unit after the event but could not reproduce the failure, and did not provide any data to (b)(4). Two bench-level checks were done to determine if there was an obvious problem with the cooling system: voltage checks in the cooling unit and a bench-level heat-load test. The voltages driving the cooling elements on the cooling block were nominal, and the system was able to maintain minimum cooling block temperatures with maximum heat load input. These results indicated that the system was not having problems cooling. To check the system over a longer period, the unit was instrumented with thermocouples in the external water line and run on a 72 hour cooling cycle with the cap set point set to 8c, which is the lowest set point and therefore the most challenging condition. Outlet water temperature was recorded and found to be 8c for the whole cycle, indicating again that the system was not having problems cooling. Since unit performance during the prior bench checks appeared normal, an ftp was run on the unit to determine if it was operating fully within specification. The unit passed the ftp, confirming that the system operates within specifications. Additionally, the dh rs were reviewed and nothing out of the ordinary was found that would suggest this unit would not cool adequately. (b)(4) was unable to confirm the failure using information provided by the hospital, and neither (b)(4) nor the hospital bio-technicians were able to duplicate the condition. Additionally, no technical problems were found with the cool-cap unit, as it operates fully within specification.
Patient Sequence No: 1, Text Type: N, H10


[66908124] Customer stated that staff reported unit would not cool patient. Customer noted that patient was moved to a different cool-cap system in order to continue treatment. There was no injury. At a later time, for two hours customer was attempting to duplicate issue. Per customer, issue could not be duplicated, and device functioned as expected. After multiple attempts for additional information, (b)(4) was unable to obtain any other details regarding this incident.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3018859-2016-00011
MDR Report Key5941092
Report SourceUSER FACILITY
Date Received2016-09-09
Date of Report2015-05-06
Date Mfgr Received2015-05-06
Device Manufacturer Date2011-03-01
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 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
Remedial ActionOT
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 Mfg2016-10-06
Model Number401701-501
OperatorNURSE
Device AvailabilityR
Device Age5 YR
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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