MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a user facility report with the FDA on 2020-02-09 for LEVEL 1 H-1200 FAST FLOW FLUID WARMER 8002950 manufactured by Smiths Medical Asd, Inc..
[178325610]
Information was received that a smiths medical level 1 h-1200 fast flow fluid warmer unit will not turn on. No adverse patient effects were reported.
Patient Sequence No: 1, Text Type: D, B5
| Report Number | 3012307300-2020-00930 |
| MDR Report Key | 9685075 |
| Report Source | USER FACILITY |
| Date Received | 2020-02-09 |
| Date of Report | 2020-02-06 |
| Date Mfgr Received | 2020-01-09 |
| Device Manufacturer Date | 2016-06-27 |
| Date Added to Maude | 2020-02-09 |
| Event Key | 0 |
| Report Source Code | Manufacturer report |
| Manufacturer Link | Y |
| Number of Patients in Event | 0 |
| Adverse Event Flag | 3 |
| Product Problem Flag | 3 |
| Reprocessed and Reused Flag | 3 |
| Health Professional | 3 |
| Initial Report to FDA | 3 |
| Report to FDA | 3 |
| Event Location | 3 |
| Manufacturer Contact | DAVE HALVERSON |
| Manufacturer Street | 6000 NATHAN LANE NORTH |
| Manufacturer City | MINNEAPOLIS MN 55442 |
| Manufacturer Country | US |
| Manufacturer Postal | 55442 |
| Manufacturer G1 | SMITHS MEDICAL ASD, INC |
| Manufacturer Street | 1265 GREY FOX ROAD |
| Manufacturer City | ST. PAUL MN 55112 |
| Manufacturer Country | US |
| Manufacturer Postal Code | 55112 |
| Single Use | 3 |
| Previous Use Code | 3 |
| Event Type | 3 |
| Type of Report | 3 |
| Brand Name | LEVEL 1 H-1200 FAST FLOW FLUID WARMER |
| Generic Name | WARMER, BLOOD, NON-ELECTROMAGNETIC RADIATION PRODUCT CODE: BSB |
| Product Code | BSB |
| Date Received | 2020-02-09 |
| Returned To Mfg | 2019-01-14 |
| Model Number | 8002950 |
| Catalog Number | 8002950 |
| Device Availability | R |
| Device Eval'ed by Mfgr | N |
| Device Sequence No | 1 |
| Device Event Key | 0 |
| Manufacturer | SMITHS MEDICAL ASD, INC. |
| Manufacturer Address | 6000 NATHAN LANE NORTH MINNEAPOLIS MN 55442 US 55442 |
| Patient Number | Treatment | Outcome | Date |
|---|---|---|---|
| 1 | 0 | 2020-02-09 |