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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: ICU MEDICAL HEALTHCARE MANUFACTURING S.A. DE C.V LEVEL 1 FAST FLOW FLUID WARMER; WARMER, BLOOD, NON-ELECTROMAGNETIC RADIATION

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ICU MEDICAL HEALTHCARE MANUFACTURING S.A. DE C.V LEVEL 1 FAST FLOW FLUID WARMER; WARMER, BLOOD, NON-ELECTROMAGNETIC RADIATION Back to Search Results
Catalog Number 8002950
Medical Device Problem Codes No Audible Alarm (1019); Environmental Particulates (2930)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 11/11/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
No information has been provided to date.Investigation including root cause analysis is in progress.A supplemental mdr will be filled as necessary in accordance with 21 cfr 803.56 when additional reportable information becomes available.
 
Event or Problem Description
It was reported that the device experienced multiple issues, including inability to load a set without triggering alarms and emitting a burnt smell during set-up.There were no patient involvement and harm.
 
Additional Manufacturer Narrative
H6: codes were added.One device was returned for investigation.It was reported that the device experienced multiple issues, including inability to load a set without triggering alarms and emitting a burnt smell during set-up.There was no patient involvement and harm.The complaint could not be fully confirmed as described.However, the device passed most tests.The user interface door alarm on the air detector, indicated by a yellow light, was found to be faulty.Service history review identified there was no indication that the complaint was related to a service of the device within the review period.A device history record (dhr) review reported no discrepancies or non-conformances during the manufacturing of the reported lot number.
 
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Brand Name
LEVEL 1 FAST FLOW FLUID WARMER
Common Device Name
WARMER, BLOOD, NON-ELECTROMAGNETIC RADIATION
Manufacturer (Section D)
ICU MEDICAL HEALTHCARE MANUFACTURING S.A. DE C.V
carretera miguel aleman km
parque industrial monterrey
apodaca nl CP666 03
MX  CP66603
Manufacturer Contact
reed covert
6000 nathan lane north
minneapolis, MN 55442
2247062300
MDR Report Key23760928
Report Number3012307300-2025-13337
Device Sequence Number9934161
Product Code BSB
UDI-Device Identifier50695085829506
UDI-Public(01)50695085829506(11)201222
Combination Product (Y/N)N
Initial Reporter StateFL
Initial Reporter CountryUS
PMA/510(K) Number
BK020043
Number of Events Summarized1
Summary Report (Y/N)N
Serviced by Third Party (Y/N)N
Reporter Type Manufacturer
Report Source User Facility
Initial Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup
Report Date (Section B) 02/02/2026
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 Catalogue Number8002950
Was Device Available for Evaluation? Yes
Date Returned to Manufacturer12/03/2025
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 11/20/2025
Supplement Date Received by Manufacturer01/26/2026
Initial Report FDA Received Date12/09/2025
Supplement Report FDA Received Date02/02/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured12/22/2020
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 Reuse
Patient Sequence Number1
Patient SexUnknown
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