OLYMPIC COOL-CAP 005094

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a company representative report with the FDA on 2018-08-22 for OLYMPIC COOL-CAP 005094 manufactured by Natus Medical Incorporated.

Event Text Entries

[118536575] It was reported that a cool-cap system had a permanent problem with the filling cycle involving the display of an error code e90. The complainant reported that steps were followed within the service manual (004204 rev d), and that during the filling cycle, the water bag was being consumed. There was no internal or external water leakage. The internal filter was washed several times. The filling valve was activated during the fill cycle and clicking could be heard. The problem reportedly occurred during the end of the fill cycle; the cap was filled and the pump was activated, but there appeared to be no water circulation and the e90 error message was being received. Natus technical service suggested that since there was no identifiable blockage to the flow of water, then the issue was likely a failing pump. There was no report of death, serious injury, delay in treatment, or environmental/safety concerns. The unit was returned for repairs. Natus factory service found that there was no continuous/smooth water flow within the cool-cap system due to a blockage within the cooling block and the flow switch/thermistor assembly. Flow rate was below the specification of 800 ccm (minimum). Both assemblies were replaced to isolate all of the piping system where the point of blockage occurred and the issue was fixed. The repaired cool-cap system passed natus functional test procedures and was returned to the complainant who did not report any further issues.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number3018859-2018-00148
MDR Report Key7806590
Report SourceCOMPANY REPRESENTATIVE
Date Received2018-08-22
Date of Report2017-06-12
Date Mfgr Received2017-06-12
Date Added to Maude2018-08-22
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 ActionRP
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameOLYMPIC COOL-CAP
Generic NameCOOL-CAP
Product CodeMXM
Date Received2018-08-22
Returned To Mfg2017-09-27
Model Number005094
Device AvailabilityR
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 2018-08-22

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