FDA Adverse Event Malfunction Summary report: N

ELECTRONIC GAS BLENDER

MDR report key: 23595151 · Received November 19, 2025

Report

Report Number
9611109-2025-90533
Event Type
Malfunction
Date Received
November 19, 2025
Date of Event
October 20, 2025
Report Date
November 19, 2025
Manufacturer
LIVANOVA DEUTSCHLAND
Product Code
DTX
PMA / PMN Number
N.A.
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 0

A.1.-A.5. PATIENT INFORMATION WAS NOT PROVIDED. D.4. SERIAL NUMBER IS UNKNOWN. THIS INFORMATION WILL BE PROVIDED IN A SUPPLEMENTAL REPORT IF MADE AVAILABLE. G.5. THE S3 GASBLENDER 10 LITER (ITEM 25-40-00) IS NOT DISTRIBUTED IN THE USA AND IT IS SIMILAR TO S5 GASBLENDER 10 LITER (ITEM CODE 25-40-45), WHICH IS DISTRIBUTED IN THE USA (510(K) NUMBER: K101046). H.4. MANUFACTURING DATE IS PENDING. H11: LIVANOVA INITIATED AN INVESTIGATION. IF ANY ADDITIONAL INFORMATION PERTINENT TO THE REPORTED EVENT IS RECEIVED, IT WILL BE PROVIDED IN A SUPPLEMENTAL REPORT.

Description of Event or Problem · 0

LIVANOVA DEUTSCHLAND RECEIVED A REPORT REGARDING AN ELECTRONIC GAS BLENDER (EGB) THAT SHUT DOWN DURING EXTRA-CORPOREAL CIRCULATION, AFTER A MESSAGE CONCERNING COMMUNICATION ISSUE WITH THE HLM ESSENZ COCKPIT POPPED UP ON THE SCREEN. THE DEVICE WAS REPLACED AND THE PROCEDURE WAS COMPLETED SUCCESSFULLY. IN PARALLEL, THE USER SWITCHED BACK ON THE AFFECTED EGB, THAT LOOKED TO PROPERLY WORKING UNTIL THE END OF SURGERY. AFTER THAT, IT SWITCHED OFF AGAIN BY ITSELF. THE UNIT HAS BEEN REPLACED BY A LOANER. THERE IS NO REPORT OF PATIENT INJURY.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2316612 ELECTRONIC GAS BLENDER GAS CONTROL UNIT, CARDIOPULMONARY BYPASS DTX LIVANOVA DEUTSCHLAND MISCELATORE GAS S3 + ALLOGGIAM

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown