FDA Adverse Event Malfunction Summary report: N

CARDIOSAVE HYBRID, TYPE B PLUG

MDR report key: 18527946 · Received January 17, 2024

Report

Report Number
2249723-2024-00214
Event Type
Malfunction
Date Received
January 17, 2024
Date of Event
January 9, 2024
Report Date
November 12, 2024
Manufacturer
DATASCOPE CORP. - MAHWAH
Product Code
DSP
UDI-DI
10607567108391
PMA / PMN Number
K112372
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FL, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF OUR INVESTIGATION.

Additional Manufacturer Narrative · 0

A GETINGE FIELD SERVICE ENGINEER (FSE) WAS DISPATCHED TO EVALUATE THE IABP UNIT AND UPON ARRIVAL DEVICE FOUND TO PRODUCE CONTINUOUS ALARM UNDER BOTH OF THE FOLLOWING CONDITIONS: WHEN TURNED ON, WHILE ON BATTERY POWER. IMMEDIATELY WHEN PLUGGED INTO AC POWER. LOGS FOUND INCLUDE 118 AND 139. UNDER GUIDANCE OF THE SERVICE MANUAL, SOLENOID CONTROL AND POWER MANAGEMENT BOARD WERE REPLACED TO RESOLVE ALL ISSUES. CALIBRATIONS, FUNCTIONAL TESTING, AND SAFETY TESTING ALL PASSED PER FACTORY SPECIFICATIONS. DEVICE RETURNED TO CUSTOMER.

Additional Manufacturer Narrative · 0

THE FOLLOWING INVESTIGATION WAS PERFORMED BY TECHNICIAN OF THE MAQUET FAILURE ANALYSIS AND TESTING DEPT. (FAT). THE FAILURE ANALYSIS AND TESTING DEPT. RECEIVED THE FOLLOWING PARTS ASSOCIATED WITH THIS COMPLAINT: PN 0670-00-1162 REV. G, SN (B)(6). PN 0670-00-1161 REV. B, SN (B)(6). PARTS WERE RECEIVED WITH A REPORTED FAILURE OF A CONTINUOUS ALARM WHILE IN BATTERY AND AC POWER. ALSO HAD ERROR CODES 118 AND 139. PERFORMED A VISUAL INSPECTION FOUND THE PARTS TO BE IN GOOD CONDITION. THE FAT INSTALLED PN 0670-00-1162 IN CARDIOSAVE TEST FIXTURE AND TESTED THE PART TO FACTORY SPECIFICATIONS PER THE CARDIOSAVE SERVICE MANUAL. NO FAILURE WAS CONFIRMED. THE BOARD WAS WORKING PROPERLY. THE FAT INSTALLED PN 0670-00-1161 IN CARDIOSAVE TEST FIXTURE AND TESTED THE PART TO FACTORY SPECIFICATIONS PER THE CARDIOSAVE SERVICE MANUAL. CONFIRMED THE REPORTED FAILURE BUT NO ROOT CAUSE DEFINED. SENT THE BOARDS TO THE SUPPLIER FOR FAILURE ANALYSIS PER PROCEDURE. THE FOLLOWING WAS SUBMITTED BY TECHNICIAN OF THE MAQUET FAILURE ANALYSIS AND TESTING DEPT. (FAT). FAILURE ANALYSIS RECEIVED FROM THE SUPPLIER FOR THE PARTS LISTED ABOVE: THEY STATED FOR PN PN 0670-00-1162: BOARD WAS RE-TESTED AT FCT RESULT: FAILED STEP: 4.10.5.6.2 "CHANNEL ADC6 - VBULK_MON, CHECK VOLTAGE" 4.10.5.6.3 "CHANNEL ADC6 - VBULK_MON, VENIFY VOLTAGE" 3. PERFORM TROUBLESHOOTING ON THE BOARD. FOUND Q35 DEFECTIVE. FOR PN 0670-00-1161: BOARD WAS RE-TESTED AT FCT. RESULT: FAILED STEP $0227 4.3.6 ISOLATION VALVE. K4 (LED ON). 3. PERFORM TROUBLESHOOTING ON THE BOAR D. FOUND C38 DEFECTIVE. PROBABLE ROOT CAUSE FOR THESE PARTS IS A MANUFACTURING ASSEMBLY ISSUE. RETAINING THE PARTS IN THE FAILURE ANALYSIS AND TESTING DEPARTMENT PER PROCEDURE. PER CAPA # 566812. ROOT CAUSE 2 ¿ THE TANTALUM CAPACITORS USED ON THE FOLLOWING TWO (2) PCBAS ARE NOT WITHIN THE CAPACITOR MANUFACTURER¿S (VISHAY) DE-RATING GUIDELINES WHICH MAY RESULT IN CAPACITOR FAILURE CAUSING AN OVERCURRENT CONDITION ON THE VBULK POWER SUPPLY WHICH DAMAGES THE POWER MANAGEMENT BOARD. 0670-00-1161 PCBA, CARDIOSAVE ROHS SOLENOID CONTROL. 0670-00-1162 PCBA, CARDIOSAVE ROHS POWER MANAGEMENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT DURING USE ON A PATIENT, THE CARDIOSAVE INTRA-AORTIC BALLOON PUMP (IABP) BATTERIES DIED IN TRANSPORT AND ARE ALARMING. THERE WAS NO KNOWN HARM.

Description of Event or Problem · 0

N/A.

Description of Event or Problem · 0

N/A.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1773531 CARDIOSAVE HYBRID, TYPE B PLUG SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL DSP DATASCOPE CORP. - MAHWAH 0998-00-0800-53 10607567108391

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown UNKNOWN.