FDA Adverse Event Malfunction Summary report: N

HEART LUNG MACHINE

MDR report key: 23862082 · Received December 22, 2025

Report

Report Number
8010762-2025-0000566
Event Type
Malfunction
Date Received
December 22, 2025
Report Date
January 12, 2026
Manufacturer
MAQUET CARDIOPULMONARY GMBH
Product Code
KFM
PMA / PMN Number
K991864
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
EG
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE INVESTIGATION IS ONGOING. FURTHER INFORMATION HAS BEEN REQUESTED BUT HAS NOT YET BEEN RECEIVED. A FOLLOW UP MEDWATCH WILL BE SUBMITTED WHEN ADDITIONAL INFORMATION BECOMES AVAILABLE. NOTE: NO UDI NUMBER HAS BEEN INCLUDED IN THE SECTION D4 UNIQUE DEVICE IDENTIFIER (UDI) SINCE THE SERIAL NUMBER OF THE AFFECTED MACHINE HAS NOT BEEN PROVIDED. THEREFORE, IT IS NOT POSSIBLE TO IDENTIFY THE SERIAL NUMBER OF THE MACHINE IN QUESTION AND THEREFORE ITS UDI NUMBER.

Additional Manufacturer Narrative · 0

THIS IS A FOLLOW UP REPORT TO COMPLAINT (B)(4) WHICH WAS REPORTED UNDER 8010762-2025-0000566. THIS COMPLAINT WAS IDENTIFIED ON 2025-01-12 AS A DUPLICATE ENTRY TO COMPLAINT# (B)(4), REPORTED UNDER MFG# 8010762-2026-0000011 ON 2026-01-12. ALL FURTHER ACTIONS WILL BE HANDLED IN COMPLAINT (B)(4).

Description of Event or Problem · 0

THE EVENT OCCURRED IN EGYPT. IT WAS REPORTED THAT THE ROTAFLOW CONSOLE STOPPED AFTER CONNECTING TO A PATIENT DURING ECMO CPR. CURRENTLY THE CUSTOMER HAS ONLY ONE FUNCTIONING ROTAFLOW CONSOLE. NO MORE INFORMATION PROVIDED. MORE INFORMATION REQUESTED BUT STILL PENDING. NO HARM TO ANY PERSON HAS BEEN REPORTED. DUE TO THE REPORTED PUMP STOP DURING PATIENT TREATMENT A REPORT IS REQUIRED. COMPLAINT ID: (B)(4).

Description of Event or Problem · 0

COMPLAINT ID: (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2257744 HEART LUNG MACHINE PUMP, BLOOD, CARDIOPULMONARY BYPASS, NON-ROLLER TYPE KFM MAQUET CARDIOPULMONARY GMBH ROTAFLOW

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown