| Brand Name | LEVEL 1 HOTLINE FLUID WARMER, 230 V ITALIAN MODEL |
| Common Device Name | WARMER, THERMAL, INFUSION FLUID |
| Manufacturer (Section D) |
| ICU MEDICAL HEALTHCARE MANUFACTURING S.A. DE C.V |
| carretera miguel aleman km21.7 |
| parque industrial monterrey |
| apodaca nl 66603 |
| MX 66603 |
|
| Manufacturer Contact |
|
reed
covert
|
| 6000 nathan lane north |
| minneapolis, MN 55442
|
|
2247062300
|
|
| MDR Report Key | 25752615 |
| Report Number | 3012307300-2026-07229 |
| Device Sequence Number | 16068891 |
| Product Code |
LGZ
|
| UDI-Device Identifier | 50695085820909 |
| UDI-Public | (01)50695085820909(11)100813 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | IT |
| PMA/510(K) Number | K911383 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Foreign,User Facility |
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
07/08/2026 |
| 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 Number | HL-90-IT-230 |
| Was Device Available for Evaluation? |
Device Returned to Manufacturer
|
| Date Returned to Manufacturer | 06/16/2026 |
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 06/23/2026 |
| Initial Report FDA Received Date | 07/08/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 08/13/2010 |
| Is the Device Labeled for Single Use? (Y/N) |
No
|
| Usage of Device |
Reuse
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |