FDA Adverse Event Malfunction Summary report: N

CONSOLE, HEART-LUNG MACHINE, CARDIOPULMONARY BYPASS

MDR report key: 17527033 · Received August 12, 2023

Report

Report Number
MW5133969
Event Type
Malfunction
Date Received
August 12, 2023
Report Date
February 20, 2013
Manufacturer
CENTURY HLM, LLC
Product Code
DTQ
Report Source
Voluntary report
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 0

MEDTRONIC RECEIVED INFORMATION THAT EACH MORNING THE BATTERY STATUS (ACCRATECH BATTERIES ) OF THE CENTURY PUMP IS TESTED BY UNPLUGGING IT FROM THE WALL, LISTENING FOR THE AUDIBLE TONE TO STATE THE UNIT IS ON BATTERY POWER, THEN PLUG IT BACK IN. THE AUDIBLE TONE ON MOST OF THE PUMPS WILL STOP WHEN PLUGGED BACK IN. HOWEVER, WITH SOME OF THE PUMPS, THE TONE WILL NOT STOP WHEN PLUGGED BACK IN. THE BATTERY IS BEING REPLACED ON THE PUMP IN ROOM 1 (B)(4). RECENTLY 2 OTHER PUMPS HAVE EXPERIENCED THE SAME ISSUE (B)(4). THIS REPORT REFLECTS INFORMATION RECEIVED BY FDA IN THE FORM OF A NOTIFICATION PER 803.22 (B)(2).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2218445 CONSOLE, HEART-LUNG MACHINE, CARDIOPULMONARY BYPASS CONSOLE, HEART-LUNG MACHINE, CARDIOPULMONARY BYPASS DTQ CENTURY HLM, LLC

Patients

Seq Age Sex Outcome Treatment
1 Unknown