MAUDE MDR 7153129

MDR report key
7153129
Report number
3018859-2017-01068
Event key
0
Event type
3
Date received
2017-12-28
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
405
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
MARC RIVAS
Address
5900 FIRST AVENUE SOUTH SEATTLE WA 98108 US
Phone
206-206-2062
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1COOL-CAPCOOL -CAPNATUS MEDICAL INCORPORATEDMXM401701-501N N

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12017-12-280

Event Narratives#

N

Patient 1

SEVERAL ATTEMPTS HAVE BEEN MADE TO GET ADDITIONAL INFORMATION FROM THE CUSTOMER, BUT NO RESPONSE. WHEN ADDITIONAL INFORMATION BECOMES AVAILABLE, A SUPPLEMENTAL REPORT WILL BE SUBMITTED.

D

Patient 1

NATUS MEDICAL RECEIVED A EMAILED COMPLAINT ON (B)(6) THAT THEIR COOL CAP RECIEVED A E90 FILING ERROR MESSAGE. IT WAS REPORTED THAT THERE WAS A PROBLEM WITH EITHER THE FILLING VALVE OR WATER PUMP. IT WAS REPORTED THAT THERE WAS NO DEATH OR SERIOUS INJURY THAT REQUIRED MEDICAL TREATMENT; NO DELAY IN TREATMENT; AND NO ENVIRONMENTAL OR SAFETY CONCERNS (E.G. SMOKE, OVERHEATING, ETC.).