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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: SMITHS MEDICAL ASD, INC. LEVEL 1 HOTLINE® 3 BLOOD AND FLUID WARMER; WARMER, THERMAL, INFUSION FLUID

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SMITHS MEDICAL ASD, INC. LEVEL 1 HOTLINE® 3 BLOOD AND FLUID WARMER; WARMER, THERMAL, INFUSION FLUID Back to Search Results
Catalog Number CON-HL-90
Device Problems Crack (1135); Component Missing (2306); Output Problem (3005)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Type  malfunction  
Event Description
Information was received that a smiths medical fluid warmer had alarmed.It is unknown if patient was involved.No further information was provided by surgical staff.
 
Manufacturer Narrative
One level 1® hotline® blood and fluid warmer was returned for analysis in damaged condition.The display label was damaged, enclosure drain fitting was cracked, missing drain cap and j-clip were observed upon visual inspection.The device was powered on and functional testing was performed; no audible alarms were heard.The plate clip was noted to be leaking, the microswitch is faulty and the pump was found noisy.Based on the evidence, the complaint was confirmed as the root cause is found to be normal wear and tear.
 
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Brand Name
LEVEL 1 HOTLINE® 3 BLOOD AND FLUID WARMER
Type of Device
WARMER, THERMAL, INFUSION FLUID
Manufacturer (Section D)
SMITHS MEDICAL ASD, INC.
6000 nathan lane north
minneapolis MN 55442
MDR Report Key8286691
MDR Text Key134393192
Report Number3012307300-2019-00424
Device Sequence Number1
Product Code LGZ
Combination Product (y/n)N
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type user facility
Type of Report Initial,Followup
Report Date 12/03/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received01/29/2019
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator No Information
Device Catalogue NumberCON-HL-90
Was Device Available for Evaluation? Device Returned to Manufacturer
Date Returned to Manufacturer01/29/2019
Date Manufacturer Received11/04/2019
Is This a Reprocessed and Reused Single-Use Device? No
Patient Sequence Number1
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