FDA Adverse Event Death Summary report: N

CARDIOHELP

MDR report key: 15923681 · Received December 6, 2022

Report

Report Number
3008355164-2022-00034
Event Type
Death
Date Received
December 6, 2022
Date of Event
March 3, 2022
Report Date
March 21, 2023
Manufacturer
MAQUET CARDIOPULMONARY GMBH
Product Code
DTQ
UDI-DI
04058863005744
PMA / PMN Number
K133598
Adverse Event
Yes
Report Source
Distributor report
Reporter Location
SP
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE INVESTIGATION IS ONGOING. FURTHER INFORMATION HAS BEEN REQUESTED BUT HAS NOT YET BEEN RECEIVED. A FOLLOW UP MEDWATCH WILL BE SUBMITTED WHEN ADDITIONAL INFORMATION BECOMES AVAILABLE.

Additional Manufacturer Narrative · 0

THE EVENT OCCURRED IN SPAIN. FOLLOWING WAS INITIALLY REPORTED: ¿ INCIDENT DESCRIPTION: ¿MAJOR BLEEDING. PERIPHERAL VASCULAR CATHETER¿. CONSEQUENCES FOR THE PATIENT: ¿DEATH¿. THE EVENT WAS REPORTED TO THE AUTHORITIES BY THE CUSTOMER. (AUTHORITY REFERENCE (B)(4)) FURTHER INFORMATION REGARDING THE EVENT AND THE INVOLVED PRODUCT HAS BEEN REQUESTED BY GETINGE SALES AND SERVICE UNIT (SSU). HOWEVER, NO FURTHER INFORMATION CAN BE PROVIDED BY THE CUSTOMER. BASED ON THE RESULTS THE REPORTED EVENT COULD NOT BE CONFIRMED. THIS COMPLAINT WAS FOUND IN THE DATABASE OF CUSTOMER COMPLAINTS FOR THE CARDIOHELP DEVICE AS A SINGLE EVENT (TIMEFRAME FROM 2021-11-28 AND 2022-11-28). THE CUSTOMER WILL BE INFORMED ABOUT THE RESULTS BY THE GETINGE SALES AND SERVICE UNIT. THE OCCURRENCE RATE RELATED TO THE REPORTED ISSUE IS CURRENTLY BEING MONITORED AS PART OF MAQUET CARDIOPULMONARY¿ S TRENDING PROGRAM AND ADDITIONAL INVESTIGATIONS OR CORRECTIONS WILL BE IMPLEMENTED IN CASE OF ADVERSE TRENDING. NOTE: IF NEW RELEVANT INFORMATION BECOME AVAILABLE, THE COMPLAINT WILL RE-OPENED AND FURTHER INVESTIGATION STEPS WILL BE INITIATED.

Description of Event or Problem · 0

FOLLOWING WAS INITIALLY REPORTED: ¿ INCIDENT DESCRIPTION: ¿MAJOR BLEEDING. PERIPHERAL VASCULAR CATHETER¿. CONSEQUENCES FOR THE PATIENT: ¿DEATH¿ ". COMPLAINT ID# (B)(4).

Description of Event or Problem · 0

COMPLAINT ID: (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1742655 CARDIOHELP CONSOLE, HEART-LUNG MACHINE, CARDIOPULMONARY BYPASS DTQ MAQUET CARDIOPULMONARY GMBH CARDIOHELP-I 04058863005744

Patients

Seq Age Sex Outcome Treatment
1 Prefer Not To Disclose Death