FDA Adverse Event
Malfunction
Summary report: N
TERUMO ADVANCED PERFUSION SYSTEM 1
MDR report key: 2052099
·
Received March 1, 2011
Report
- Report Number
- 1828100-2011-00473
- Event Type
- Malfunction
- Date Received
- March 1, 2011
- Date of Event
- February 7, 2011
- Report Date
- March 1, 2011
- Manufacturer
- TERUMO CARDIOVASCULAR SYSTEMS CORP.
- Product Code
- DTQ
- PMA / PMN Number
- K022947
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- TX, US
- Reporter Occupation
- OTHER
Narratives
Description of Event or Problem · 1
DURING USE OF THE DEVICE FOR A NON-CLINICAL ACTIVITY, THE USER REPORTED THAT THE BATTERY WOULD NOT HOLD A CHARGE AS EXPECTED. UPON UNPLUGGING THE SYSTEM FROM THE WALL POWER SOURCE, A MESSAGE WAS DISPLAYED STATING THAT THERE WERE 188 MINUTES LEFT ON BATTERY POWER; HOWEVER, BATTERY POWER WAS DEPLETED WITHIN 15 MINUTES. SINCE THE EVENT OCCURRED DURING A NON-CLINICAL ACTIVITY, THERE WAS NO PT INVOLVEMENT DURING THIS EVENT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1 | TERUMO ADVANCED PERFUSION SYSTEM 1 | HEART LUNG CONSOLE | DTQ | TERUMO CARDIOVASCULAR SYSTEMS CORP. | 801763 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |