| Brand Name | Continental European 230 Volt Level 1 Hotline |
| Common Device Name | Warmer, Thermal, Infusion Fluid |
| Manufacturer (Section D) |
| ICU Medical Healthcare Manufacturing S.A. de C.V. |
| carretera miguel alemán km21.7 |
| parque industrial monterrey |
| apodaca nuevo leon 66603 |
| MX 66603 |
|
| Manufacturer Contact |
|
reed
covert
|
| 600 n. field dr. |
| lake forest, IL 60045
|
|
+1(224)706-2300
|
|
| MDR Report Key | 50419551 |
| Report Number | 9616567-2026-00012 |
| Device Sequence Number | 13423555 |
| Product Code |
LGZ
|
| UDI-Device Identifier | 50695085820909 |
| UDI-Public | (01)50695085820909(11)190226 |
| Combination Product (Y/N) | N |
| Initial Reporter State | NA |
| Initial Reporter Country | AS |
| PMA/510(K) Number | Unknown |
| 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 |
| Type of Report
| Initial |
| Report Date (Section B) |
08/24/2026 |
| 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 |
Other
|
| Device Model Number | HL-90 |
| Device Catalogue Number | HL-90-INT-230 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 06/29/2026 |
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | Not provided |
| Initial Report FDA Received Date | 08/24/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Date Device Manufactured | 02/26/2019 |
| Is the Device Labeled for Single Use? (Y/N) |
No
|
| Usage of Device |
Reuse
|
| Patient Sequence Number | 1 |
| Patient Sex | Unknown |
|
|