FDA Adverse Event Malfunction Summary report: N

BIO CONSOLE 560

MDR report key: 23743991 · Received December 8, 2025

Report

Report Number
2184009-2025-01595
Event Type
Malfunction
Date Received
December 8, 2025
Date of Event
December 5, 2025
Report Date
December 16, 2025
Manufacturer
PERFUSION SYSTEMS
Product Code
DWA
UDI-DI
00763000236526
PMA / PMN Number
K080824
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
GA, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

MEDTRONIC RECEIVED ADDITIONAL INFORMATION THAT THE BATTERY FAILURE WAS VERIFIED BY THE CUSTOMER AND THE SERVICE TEAM THROUGH TESTING. THE BATTERIES WERE INSTALLED IN 2022 AND ITS ORIGINAL LOT NUMBER IS 2223/ 190222-M. DEVICE EVALUATION SUMMARY: THE REPORTED BATTERY FAILURE WAS VERIFIED DURING SERVICE. THE ISSUE WAS RESOLVED BY REPLACING THE BATTERY,12V,6.5 AH,CERTIFIED *2 AND ADJUSTING THE POWER SUPPLY VOLTAGE FROM 29.91VDC TO 30VDC AS A PRECAUTION. PREVENTATIVE MAINTENANCE WAS PERFORMED PER SPECIFICATIONS. NOTE: THE INSTRUMENT WAS SERVICED IN THE FACILITY BY A FIELD SERVICE TECHNICIAN. THE INSTRUMENT WAS NOT RETURNED TO A MEDTRONIC FACILITY FOR SERVICE/ANALYSIS. H.6: ANNEX B, ANNEX C AND ANNEX D CODES UPDATED. MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Additional Manufacturer Narrative · 0

MEDTRONIC SUBMITS THIS REPORT TO COMPLY WITH FDA REGULATIONS 21 CFR PARTS 4 AND 803. MEDTRONIC HAS MADE REASONABLE EFFORTS TO PROVIDE AS MUCH RELEVANT INFORMATION AS IS AVAILABLE TO THE COMPANY AS OF THE SUBMISSION DATE OF THIS REPORT. THIS REPORT DOES NOT CONSTITUTE AN ADMISSION OR A CONCLUSION BY FDA, MEDTRONIC, OR ITS EMPLOYEES THAT THE DEVICE, MEDTRONIC, OR ITS EMPLOYEE CAUSED OR CONTRIBUTED TO THE EVENT DESCRIBED IN THE REPORT. ANY REQUIRED FIELDS THAT ARE UNPOPULATED ARE BLANK BECAUSE THE INFORMATION IS CURRENTLY UNKNOWN OR UNAVAILABLE. MEDTRONIC WILL SUBMIT A SUPPLEMENTAL REPORT IF ADDITIONAL RELEVANT INFORMATION BECOMES KNOWN.

Description of Event or Problem · 0

MEDTRONIC RECEIVED INFORMATION THAT PRIOR TO USE OF A BIO-CONSOLE 560 INSTRUMENT, IT WAS REPORTED A BATTERY FAILURE. THE INSTRUMENT WAS REPLACED. THERE WAS NO PATIENT INVOLVEMENT, SO NO ADVERSE EFFECT OCCURRED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2455187 BIO CONSOLE 560 CONTROL, PUMP SPEED, CARDIOPULMONARY BYPASS DWA PERFUSION SYSTEMS 560BCS1 00763000236526

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown