OLYMPIC COOL-CAP DM401352-503

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 2018-07-31 for OLYMPIC COOL-CAP DM401352-503 manufactured by Natus Medical Incorporated.

Event Text Entries

[115650261] Natus technical service followed up with a biomedical technician (biomed) at the user facility to obtain further details concerning the leaking system. The biomed confirmed that there was a cracked o-ring on the out line connector of the main hose. A replacement main hose assembly was sent to the user facility, and the biomed confirmed that the cool-cap system was working well with the replacement main hose assembly installed. The main hose assembly involved in the complaint was returned to natus and evaluated by natus factory service. The hose assembly was installed on a cool-cap troubleshooting fixture and water leaked at the hose assembly's connector mated to the "main hose out" of the cool-cap base.
Patient Sequence No: 1, Text Type: N, H10


[115650262] It was reported to natus that a cool-cap system developed a slow water leak at the water fittings on the back of the cooling tower at the beginning of treatment. The complainant stated that they continued to use the system for 36 hours before transitioning the patient to a second cool-cap loaner system which was being used at the time. There were no alarms that prompted or any problems reported during the treatment. There was no report of death, serious injury, or environmental/safety concerns.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3018859-2018-00134
MDR Report Key7737021
Report SourceUSER FACILITY
Date Received2018-07-31
Date of Report2016-09-06
Date Mfgr Received2016-09-06
Date Added to Maude2018-07-31
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 ContactJAMES FITZGERALD
Manufacturer Street5900 FIRST AVENUE SOUTH
Manufacturer CitySEATTLE WA 98108
Manufacturer CountryUS
Manufacturer Postal98108
Manufacturer Phone2062685173
Manufacturer G1NATUS MEDICAL INCORPORATED
Manufacturer Street5900 FIRST AVENUE SOUTH
Manufacturer CitySEATTLE WA 98108
Manufacturer CountryUS
Manufacturer Postal Code98108
Single Use3
Remedial ActionRL
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameOLYMPIC COOL-CAP
Generic NameCOOL-CAP
Product CodeMXM
Date Received2018-07-31
Model NumberDM401352-503
Device AvailabilityN
Device Eval'ed by MfgrY
Device Sequence No1
Device Event Key0
ManufacturerNATUS MEDICAL INCORPORATED
Manufacturer Address5900 FIRST AVENUE SOUTH SEATTLE WA 98108 US 98108


Patients

Patient NumberTreatmentOutcomeDate
101. Other 2018-07-31

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