FDA Adverse Event Malfunction Summary report: N

CENTRIMAG 2ND GENERATION PRIMARY CONSOLE

MDR report key: 19958246 · Received August 11, 2024

Report

Report Number
3003306248-2024-04400
Event Type
Malfunction
Date Received
August 11, 2024
Date of Event
July 24, 2024
Report Date
October 7, 2024
Manufacturer
THORATEC SWITZERLAND GMBH
Product Code
QNR
UDI-DI
07640135140702
PMA / PMN Number
K131179
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

MANUFACTURER'S INVESTIGATION CONCLUSION: THE REPORTED EVENT OF AN M4: MOTOR ALARM WITH A RATTLING SOUND WAS CONFIRMED VIA THE CENTRIMAG MOTOR¿S EVALUATION, AND IT WAS DETERMINED THAT THE CONSOLE WAS UNRELATED TO THE CAUSE OF THE EVENT. THE RETURNED CENTRIMAG CONSOLE (SERIAL NUMBER (B)(6) WAS FUNCTIONALLY TESTED AT THE SERVICE DEPOT AND PERFORMED AS INTENDED THROUGHOUT ALL TESTING. THE CONSOLE WAS RETURNED TO THE CUSTOMER SITE AFTER PASSING ALL TESTS PER PROCEDURE. THE ROOT CAUSE OF THE REPORTED EVENT WAS ISOLATED TO AN ISSUE WITH THE CENTRIMAG MOTOR AND WAS NOT CORRELATED TO AN ISSUE WITH THE CONSOLE. REVIEW OF THE DEVICE HISTORY RECORD FOR CENTRIMAG CONSOLE, SERIAL NUMBER (B)(6), SHOWED THE DEVICE WAS MANUFACTURED IN ACCORDANCE WITH MANUFACTURING AND QA SPECIFICATIONS. THE 2ND GENERATION CENTRIMAG SYSTEM OPERATING MANUAL SECTION 4 ENTITLED "WARNINGS & PRECAUTIONS" WARNS "ONE ADDITIONAL 2ND GENERATION CENTRIMAG PRIMARY CONSOLE, MOTOR AND FLOW PROBE ARE REQUIRED AS BACKUP SYSTEM IN THE IMMEDIATE VICINITY OF EACH PATIENT WHENEVER THE CENTRIMAG OR PEDIVAS BLOOD PUMP IS USED. THE BACKUP CONSOLE MUST BE CONNECTED TO THE BACKUP MOTOR AND TO THE BACKUP FLOW PROBE, HAVE A BATTERY CHARGE SUFFICIENT FOR AT LEAST ONE HOUR OF OPERATION, BE CONNECTED TO AC POWER (EXCEPT DURING TRANSPORT) AND BE IMMEDIATELY AVAILABLE SHOULD THE MAIN CONSOLE, MOTOR OR FLOW PROBE EXPERIENCE A MALFUNCTION." THE 2ND GENERATION CENTRIMAG SYSTEM OPERATING MANUAL SECTION 10 ENTITLED "EMERGENCY / TROUBLESHOOTING" STATES THAT "THE RECOMMENDED PRACTICE WHENEVER THERE IS A 2ND GENERATION CENTRIMAG PRIMARY CONSOLE OR MOTOR MALFUNCTION IS TO REPLACE THE CONSOLE AND MOTOR AS A SET. REMOVE THE BLOOD PUMP FROM THE MALFUNCTIONING MOTOR AND CONSOLE AND PLACE THE BLOOD PUMP IN THE BACKUP MOTOR AND CONSOLE TO CONTINUE PATIENT SUPPORT. DO NOT EXCHANGE INDIVIDUAL MOTORS OR INDIVIDUAL CONSOLES DURING PATIENT SUPPORT." NO FURTHER INFORMATION WAS PROVIDED. THE MANUFACTURER IS CLOSING THE FILE ON THIS EVENT.

Additional Manufacturer Narrative · 0

NO FURTHER INFORMATION WAS PROVIDED. A SUPPLEMENTAL REPORT WILL BE SUBMITTED WHEN THE MANUFACTURER¿S INVESTIGATION IS COMPLETED.

Additional Manufacturer Narrative · 0

NO FURTHER INFORMATION WAS PROVIDED. A SUPPLEMENTAL REPORT WILL BE SUBMITTED ONCE THE MANUFACTURER¿S INVESTIGATION IS COMPLETED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PERFUSIONIST PRIMED THE CENTRIMAG EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) WITHOUT ISSUE AND THEN CLAMPED THE LINE AT AN RPM GREATER THAN 2000. AN M4 ALARM OCCURRED AND THE CENTRIMAG MOTOR STARTED MAKING A SIGNIFICANT RATTLING NOISE. THE PERFUSIONIST CLAMPED, REMOVED, AND RESEATED THE PUMP WITH NO IMPROVEMENT. THE M4 ALARM WOULD NOT SILENCE OR CLEAR. THE MOTOR AND CONSOLE WERE EXCHANGED. THIS OCCURRED BEFORE THE CENTRIMAG WAS ON A PATIENT.

Description of Event or Problem · 0

ADDITIONAL INFORMATION WAS RECEIVED THAT THE ALARMS RESOLVED FOLLOWING THE MOTOR AND CONSOLE EXCHANGE. THE DISPOSABLE PUMP HEAD WAS NOT EXCHANGED AND WORKED JUST FINE WITH THE NEW EQUIPMENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1779821 CENTRIMAG 2ND GENERATION PRIMARY CONSOLE CONTROL, PUMP SPEED, CARDIOPULMONARY BYPASS QNR THORATEC SWITZERLAND GMBH 201-90411 7929109 07640135140702

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown