FDA Adverse Event Other Summary report: N

ARROW TELEFLEX IABP (INTRA-AORTIC BALLOON PUMP)

MDR report key: 19089552 · Received April 10, 2024

Report

Report Number
MW5153742
Event Type
Other
Date Received
April 10, 2024
Report Date
April 9, 2024
Manufacturer
ARROW INTERNATIONAL, LLC (SUBSIDIARY OF TELEFLEX, INCORPORATED)
Product Code
DSP
Report Source
Voluntary report
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Description of Event or Problem · 0

PATIENT'S IABP (INTRA-AORTIC BALLOON PUMP) BEGAN ALARMING FOR HIGH PRESSURE ALARMS CAUSING THE PUMP TO SHUT OFF AND NEED TO BE MANUALLY RESTARTED. PATIENT WAS REPOSITIONED TO BE AS FLAT AS POSSIBLE, AND THE LINE WAS INSPECTED TO ENSURE NO KINKS OR BENDING. IABP CONSOLE THEN ALARMED "SYSTEM ERROR 3, PUMP/VALVE CONTROLLER ERROR" AND SHUT OFF AGAIN. IABP ENGINEER WAS PAGED AND CAME TO INSPECT THE DEVICE. THE ALARM HAPPENED TWICE MORE AND THE CONSOLE WAS THEN REMOVED FROM SERVICE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
832804 ARROW TELEFLEX IABP (INTRA-AORTIC BALLOON PUMP) SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL DSP ARROW INTERNATIONAL, LLC (SUBSIDIARY OF TELEFLEX, INCORPORATED) IAP-0700

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown