| Model Number |
500-03518 |
| Medical Device Problem Codes |
Fluid/Blood Leak (1250); Product Quality Problem (1506)
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| Health Effect - Clinical Code |
No Clinical Signs, Symptoms or Conditions (4582)
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| Date of Event |
12/20/2025
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Type of Reportable Event
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Malfunction
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Event or Problem Description
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Received baby on therapeutic cooling with curewrap cooling jacket on.The staff observed the jacket was wet on the head area and soaking through the sheets.All other areas of the jacket was dry and the jacket was not filled with water.After the staff noticed this, they replaced the cooling jacket.
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Additional Manufacturer Narrative
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The internal complaint file (b)(4) has been logged for this incident for traceability.The wrap involved in this incident has not yet returned to belmont for investigation.There is no patient impact as a result of the alleged incident.The leak is visibly obvious to the user.An add water alarm will generate in the event not enough water is in the device to thermoregulate the patient.The wrap can be exchanged to continue thermoregulation.The operator's manual informs the user, "if moisture or leaks are discovered in the connecting hose and/or wrap, turn off the criticool device, disconnect the power cable from its power source, and correct the problem before proceeding." the manual also provides a troubleshooting guide for water leaks, as well as the following warning statement: "water may drip from the inlet tubes of the wraps.Be sure that no electrical device or outlet is located under the criticool's water inlet or wrap tubes.When disconnecting wraps from the criticool confirm that the clamps are tight, to prevent water leaking from the wrap."all curewraps are 100% leak tested by the manufacturer prior to release for shipment.The wrap involved in this incident has not been returned for investigation to this point.Belmont is currently waiting on return of the curewrap.Without results of the device investigation, no final conclusions can be drawn.A follow-up report will be submitted once the investigation is complete and additional information becomes available.
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Additional Manufacturer Narrative
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The wrap involved in the incident was not available for investigation.Therefore, a thorough investigation into the reported leak could not be carried out.Additional information was provided from the medical device safety officer that a potential cause of the leaks is accidental damage from a needle electrode puncturing the fabric of the wrap.The user confirmed that there was no patient harm as a result of the alleged incident.The root cause of the reported issue could not be determined.The customer was reminded to avoid inserting any sharp objects between the patient and the wrap.The medical device safety officer will perform training with the departments to avoid future occurrences.No further issues have been reported.We will continue to monitor these incidents closely and take further corrective and preventive action if required.
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Search Alerts/Recalls
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