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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: DATEX-OHMEDA, INC. PANDA; WARMER, INFANT RADIANT

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DATEX-OHMEDA, INC. PANDA; WARMER, INFANT RADIANT Back to Search Results
Model Number IRES WARMER
Medical Device Problem Code Break (1069)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 04/17/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
A ge healthcare service representative performed a checkout of the system and confirmed the reported issue.The panel was replaced to resolve the issue.Block a: no report of patient involvement.Legal manufacturer: hcs madison - 3030 ohmeda dr, usa madison, wi 53718.
 
Event or Problem Description
It was reported that there was a malfunction resulting in a broken side panel.There was no patient involvement.
 
Additional Manufacturer Narrative
Additional information was received that the issue was identified in the plexiglass, while the latch was functioning correctly.There was no reportable malfunction.
 
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Brand Name
PANDA
Common Device Name
WARMER, INFANT RADIANT
Manufacturer (Section D)
DATEX-OHMEDA, INC.
3030 ohmeda dr,
madison, WI 53718
Manufacturer (Section G)
DATEX-OHMEDA, INC.
3030 ohmeda dr,
madison, WI 53718
Manufacturer Contact
anthony amenson
3030 ohmeda drive
madison, WI 53718
MDR Report Key22026626
Report Number2112667-2025-04066
Device Sequence Number17947067
Product Code FMT
UDI-Device Identifier00840682103893
UDI-Public(01)00840682103893(11)170418
Combination Product (Y/N)N
Initial Reporter StateFL
Initial Reporter CountryUS
PMA/510(K) Number
K201628
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source Health Professional,User Facility
Initial Reporter Occupation Biomedical Engineer
Type of Report Initial,Followup
Report Date (Section B) 06/05/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Model NumberIRES WARMER
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 04/17/2025
Supplement Date Received by Manufacturer06/05/2025
Initial Report FDA Received Date05/15/2025
Supplement Report FDA Received Date06/05/2025
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured04/18/2017
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device A
Patient Sequence Number1
Patient SexUnknown
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