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 2017-01-09 for OLYMPIC COOL-CAP SYSTEM 401701-501 manufactured by Natus Medical Incorporated.

Event Text Entries

[64128857] A system shut down or power interruption is caused by a complete loss of power or by an unintentional drop in voltage; under these conditions the unit will prompt an error message to the user or restarting automatically and continuing treatment. The cool-cap system was returned to natus for additional investigation where it was confirmed by factory service that the power supply of the system was faulty, causing voltage drops during the cooling process. The power supply was replaced and the system functioned as expected according to natus service procedures.. The system was returned to the customer. This report is considered final.
Patient Sequence No: 1, Text Type: N, H10


[64128858] Natus received a report stating their cool-cap system "shut off" twice while treating a patient: the first time the unit was in use for less than 12 hours, and the second time the unit was in use for less than 24 hours
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3018859-2017-00008
MDR Report Key6232187
Report SourceUSER FACILITY
Date Received2017-01-09
Date of Report2016-09-17
Date Mfgr Received2015-09-17
Date Added to Maude2017-01-09
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag0
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationBIOMEDICAL ENGINEER
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 Received2017-01-09
Returned To Mfg2015-04-01
Model Number401701-501
Device AvailabilityR
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 2017-01-09

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