FDA Adverse Event Malfunction Summary report: N

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MDR report key: 155598 · Received March 9, 1998

Report

Report Number
1317749-1998-00002
Event Type
Malfunction
Date Received
March 9, 1998
Manufacturer
*
Product Code
DQO
Report Source
Manufacturer report

Narratives

Additional Manufacturer Narrative · 1

RESULTS OF INVESTIGATION: THE DEVICE IN QUESTION WAS NOT RETURNED. THIS DEVICE WAS MFG IN 11/1994 AND THE PRODUCTION RECORDS HAVE BEEN ARCHIVED. HOWEVER, CO HAS NO PRIOR COMPLAINTS INVOLVING CLOTTING OF BLOOD ON THE END OF THE CATHETER AND NO SIMILAR COMPLAINTS. THE INSTRUCTIONS FOR USE WARN THAT "ADEQUATE HEPARINIZATION" (PROCESS OF ADMINISTERING HEPARIN, A KNOWN ANTICOAGULANT) "MUST BE MAINTAINED DURING ECMO" AND PRIOR TO CANNULATION, "IT IS IMPORTANT THAT HEPARIN HAS BEEN GIVEN, AND ENOUGH TIME ALLOWED FOR RECIRCULATION." COMMENTS AND CORRECTIVE ACTIONS: BASED ON THE INFO AVAILABLE, THERE IS NO EVIDENCE TO SUPPORT THAT A MFG ERROR HAS OCCURRED AND IT CAN ONLY BE SPECULATED THAT ADEQUATE HEPARINIZATION WAS NOT ACHIEVED BY THE USER.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 * * DQO *

Patients

Seq Age Sex Outcome Treatment
1