FDA Adverse Event Malfunction Summary report: N

CENTRIMAG BLOOD PUMP

MDR report key: 20032486 · Received August 22, 2024

Report

Report Number
3003306248-2024-04409
Event Type
Malfunction
Date Received
August 22, 2024
Date of Event
August 6, 2024
Report Date
November 25, 2024
Manufacturer
THORATEC SWITZERLAND GMBH
Product Code
QNR
UDI-DI
07640135140627
PMA / PMN Number
K020271
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
AR, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

A1-A6: NO PATIENT INVOLVEMENT D4: DEVICE SERIAL NUMBER AND LOT NUMBER WERE NOT PROVIDED, AND EXPIRATION DATE AND MANUFACTURE DATE (H4) CANNOT BE DETERMINED. THE PRIMARY UDI NUMBER IN D4 IS REFLECTIVE OF ALL AVAILABLE INFORMATION. NO FURTHER INFORMATION PROVIDED. A SUPPLEMENTAL REPORT WILL BE SUBMITTED ONCE THE MANUFACTURER INVESTIGATION IS COMPLETE.

Additional Manufacturer Narrative · 0

B5: ADDITIONAL INFORMATION. H6: UPDATED CODES. NO FURTHER INFORMATION PROVIDED. A SUPPLEMENTAL REPORT WILL BE SUBMITTED ONCE THE MANUFACTURER INVESTIGATION IS COMPLETE.

Additional Manufacturer Narrative · 0

MANUFACTURER'S INVESTIGATION CONCLUSION: THE ROOT CAUSE OF THE REPORTED EVENTS WAS DETERMINED TO BE RELATED TO THE CENTRIMAG MOTOR; THERE WERE NO DEVICE ISSUES WITH THE CENTRIMAG PUMP. THE CENTRIMAG PUMP WAS NOT RETURNED FOR EVALUATION. THE LOT NUMBER OR OTHER IDENTIFYING INFORMATION OF THE PRODUCT WAS NOT REPORTED AND WAS NOT ABLE TO BE DETERMINED DURING THE INVESTIGATION. THE CENTRIMAG BLOOD PUMP INSTRUCTIONS FOR USE (IFU) IS CURRENTLY AVAILABLE. NO SPECIFIC ADVERSE EVENTS WERE REPORTED; HOWEVER, THE CENTRIMAG BLOOD PUMP IFU PROVIDES A LIST OF ADVERSE EVENTS THAT MAY BE ASSOCIATED WITH THE CENTRIMAG CIRCULATORY SUPPORT SYSTEM UNDER ¿ADVERSE EVENTS¿. IFU CAUTION #15: ALWAYS HAVE A BACKUP CENTRIMAG PUMP, CONSOLE, MOTOR, AND ACCESSORIES AVAILABLE FOR USE. THE CENTRIMAG CIRCULATORY SUPPORT SYSTEM OPERATION MANUAL IS CURRENTLY AVAILABLE. SECTION 4 ENTITLED "WARNINGS & PRECAUTIONS" WARNS ¿ONE ADDITIONAL CENTRIMAG CONSOLE, MOTOR AND FLOW PROBE ARE REQUIRED AS BACKUP COMPONENTS IN THE IMMEDIATE VICINITY OF EACH PATIENT WHENEVER THE CENTRIMAG OR PEDIMAG 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.¿ SECTION 12.1 ENTITLED "APPENDIX I ¿ CONSOLE ALARMS AND ALERTS" CONTAINS A LIST OF CONSOLE ALARMS AND ALERTS AS WELL AS THE APPROPRIATE OPERATOR RESPONSE TO THESE EVENTS. THE CURRENT REVISIONS OF THE INSTRUCTIONS FOR USE (IFU) AND OPERATION MANUAL CAN ALSO BE FOUND ON THE ELECTRONIC IFU (EIFU) PAGE OF THE ABBOTT WEBSITE. NO FURTHER INFORMATION WAS PROVIDED. THE MANUFACTURER IS CLOSING THE FILE ON THIS EVENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PUMP SPEED WOULD NOT INCREASE AND WOULD ONLY CHATTER AND MAKE CLICKING SOUNDS. THE DEVICE WAS TAKEN OUT OF SERVICE.

Description of Event or Problem · 0

IT WAS LATER NOTED THAT THIS WAS A MOTOR PROBLEM, NOT A PUMP PROBLEM. THE CENTRIMAG PUMP WAS USED WITH ANOTHER MOTOR WITHOUT ANY PROBLEMS. IT WAS USED TO DO A FULL VENOVENOUS EXTRACORPOREAL MEMBRANE OXYGENATION (VV ECMO), WITHOUT ANY ISSUES. THE PATIENT WAS NOTED TO BE SURVIVING, AND IT APPEARED THAT THEY WOULD HAVE A GOOD PROGNOSIS.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT WAS DISCHARGED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
25592 CENTRIMAG BLOOD PUMP BLOOD PUMP FOR ECMO, LONG-TERM (> 6 HOURS) USE QNR THORATEC SWITZERLAND GMBH 102953 07640135140627

Patients

Seq Age Sex Outcome Treatment
1 7 MO Male