OLYMPIC COOL-CAP 401350-503

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 2017-11-03 for OLYMPIC COOL-CAP 401350-503 manufactured by Natus Medical Inc..

Event Text Entries

[91921483] Natus technical service confirmed with the customer that the patient's rectal temperature was recorded at 36. 1? C. The user also confirmed the following - no kinks with any of the hoses, all of the connectors were fully snapped into place, and the fitting was fully seated. The customer reported that they tried to press "fill" again after reboot, but the attempt was unsuccessful. Technical support also advised the user to review the cool cap service guide. Follow up communication attempts with the customer were carried out on 17 oct 2017 and 30 oct 2017. These follow up attempts have been unsuccessful thus far.
Patient Sequence No: 1, Text Type: N, H10


[91921484] The customer contacted natus medical to report that an "error 90," "fill error during setup," message occurred and was present from the start of the treatment. The patient was reported to have been connected to the cool cap for two hours. No death, serious injury, or environmental or safety concerns were reported. The customer reported that the unit never cooled and felt warm to the touch and that the water bag connected was 3/4 filled.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3018859-2017-00870
MDR Report Key7001152
Report SourceUSER FACILITY
Date Received2017-11-03
Date of Report2017-10-06
Date Mfgr Received2017-10-06
Date Added to Maude2017-11-03
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
Remedial ActionOT
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameOLYMPIC COOL-CAP
Generic NameCOOL-CAP
Product CodeMXM
Date Received2017-11-03
Model Number401350-503
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerNATUS MEDICAL INC.
Manufacturer Address5900 FIRST AVENUE SOUTH SEATTLE WA 98108 US 98108


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2017-11-03

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