CALEO 2M50555

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative,user f report with the FDA on 2018-04-06 for CALEO 2M50555 manufactured by Dr?gerwerk Ag & Co. Kgaa.

Event Text Entries

[104553641] The investigation was started but is not yet concluded. The investigation result will be reported in a follow up-report.
Patient Sequence No: 1, Text Type: N, H10


[104553642] It was reported by the user facility that in the frame of an enquiry for bacillus cereus control positive samples have been found. Since (b)(6) 2018, 4 infected babies, one death. However detailed information of the cause of death and infections was not yet provided and is still under assessment.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9611500-2018-00098
MDR Report Key7402383
Report SourceCOMPANY REPRESENTATIVE,USER F
Date Received2018-04-06
Date of Report2019-02-25
Date of Event2018-03-05
Date Mfgr Received2019-02-22
Device Manufacturer Date2013-10-31
Date Added to Maude2018-04-06
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactMS. SONJA HILLMER
Manufacturer StreetMOISLINGER ALLEE 53-55
Manufacturer CityL 23542
Manufacturer CountryGM
Manufacturer Postal23542
Manufacturer Phone4518822868
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Sequence Number: 0

Brand NameCALEO
Generic NameINCUBATOR, INFANT
Product CodeFMZ
Date Received2018-04-06
Model NumberNA
Catalog Number2M50555
Lot NumberNA
Device Expiration Date2000-01-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device Eval'ed by MfgrN
Device Sequence No0
Device Event Key0
ManufacturerDR?GERWERK AG & CO. KGAA
Manufacturer AddressMOISLINGER ALLEE 53-55 L?BECK 23542 GM 23542

Device Sequence Number: 1

Brand NameCALEO
Generic NameINCUBATOR, INFANT
Product CodeFMZ
Date Received2018-04-06
Model NumberNA
Catalog Number2M50555
Lot NumberNA
Device Expiration Date2000-01-01
OperatorHEALTH PROFESSIONAL
Device AvailabilityN
Device AgeDA
Device Eval'ed by MfgrN
Device Sequence No1
Device Event Key0
ManufacturerDR?GERWERK AG & CO. KGAA
Manufacturer AddressMOISLINGER ALLEE 53-55 L?BECK 23542 GM 23542


Patients

Patient NumberTreatmentOutcomeDate
101. Death 2018-04-06

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