OLYMPIC COOL-CAP 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 2018-02-16 for OLYMPIC COOL-CAP 401701-501 manufactured by Natus Medical Inc..

Event Text Entries

[100511945] The asc representative indicated that there was no fault with the unit and required assistance on how to move forward with the situation. Technical service advised that if there was no issue confirmed, that the unit can be returned to the customer.
Patient Sequence No: 1, Text Type: N, H10


[100511946] The event involves a cool-cap unit with a water leak. It was reported that the issue did not involve a death or serious injury that required treatment, a delay in treatment, and an environmental or safety concerns. A representative from an authorized service center (asc), paragon, contacted natus technical service concerning a cool cap system. The customer is alleging that there is a water leak and has reported to have spent approximately 60 hours testing the water circulation. The customer reported that, when filling the bag with water, the cap of the unit was filling well. The remaining water in the bag was leaking onto the floor of the main unit after completely filling the cap. The customer requested that the asc attempt this process to confirm the issue.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3018859-2018-00098
MDR Report Key7277196
Report SourceUSER FACILITY
Date Received2018-02-16
Date of Report2018-01-17
Date Mfgr Received2018-01-17
Date Added to Maude2018-02-16
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 ContactANA SZUCS
Manufacturer Street5900 FIRST AVENUE SOUTH
Manufacturer CitySEATTLE WA 98108
Manufacturer CountryUS
Manufacturer Postal98108
Manufacturer Phone2062685133
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 Received2018-02-16
Model Number401701-501
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 2018-02-16

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