OLYMPIC COOL-CAP 401352-503

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 401352-503 manufactured by Natus Medical Inc..

Event Text Entries

[91921566] During the call, natus technical service instructed the user to turn the unit off, to spike a new bag, and to reboot to the system "set up. " the user then reported that the cooling process was able to function without issue, and that the cool cap was no longer leaking. Follow up communication attempts with the customer were carried out on 18 oct 2017 and 30 oct 2017. These follow up attempts have been unsuccessful thus far.
Patient Sequence No: 1, Text Type: N, H10


[91921567] The user reported that the unit was receiving an a51 alarm, "water leak error," during the treatment of a patient. The user also reported that the unit's cap was leaking and that the bed was wet near the area where the cap is located. Prior to the call, the user reported that they had changed the cap and that the bag was not full.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3018859-2017-00871
MDR Report Key7001153
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 ActionMA
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameOLYMPIC COOL-CAP
Generic NameCOOL-CAP
Product CodeMXM
Date Received2017-11-03
Model Number401352-503
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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