VASOVIEW HEMOPRO 2
Report
- Report Number
- 2242352-2026-0000033
- Event Type
- Malfunction
- Date Received
- January 30, 2026
- Date of Event
- January 6, 2026
- Report Date
- January 30, 2026
- Manufacturer
- MAQUET CARDIOVASCULAR LLC
- Product Code
- GEI
- UDI-DI
- 00607567700406
- PMA / PMN Number
- K101274
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- HK
- Reporter Occupation
- NURSE
- Health Professional
- Yes
Narratives
(B)(4). THE DEVICE HAS BEEN RETURNED TO THE FACTORY AND IS BEING EVALUATED. A SUPPLEMENTAL REPORT WILL BE SUBMITTED WHEN THE EVALUATION IS COMPLETED.
TW (B)(4) UPDATED FIELDS: B4, G3, G6, H2, H3, H6, H11. THE DEVICE WAS RETURNED TO THE FACTORY FOR EVALUATION ON 01/28/2026. AN INVESTIGATION WAS CONDUCTED ON 01/29/2026. BTT WAS RETURNED FOR EVALUATION. SIGNS OF CLINICAL USE AND EVIDENCE OF BLOOD WAS OBSERVED. THERE WERE NO VISUAL DEFECTS OBSERVED ON THE INTACT BTT. A 25 CC SYRINGE, FILLED WITH AIR WAS ATTACHED TO THE INFLATION PORT LINE ON THE BTT AND SQUEEZED THE SYRINGE TO INJECT AIR. THE BTT WAS NOT ABLE TO BE INFLATED DUE TO DAMAGE NOTED ON THE BALLOON OF THE BTT. A 25CC SYRINGE, FILLED WITH SALINE WAS ATTACHED TO THE CO2 LINE ON THE BTT AND SQUEEZED THE SYRINGE TO SPRAY AND A WHOLE WAS OBSERVED IN THE BALLOON. BASED ON THE RETURNED CONDITION OF THE DEVICE AS WELL AS THE EVALUATION RESULTS, THE REPORTED FAILURE "INFLATION PROBLEM" WAS CONFIRMED. A MANUFACTURING ENGINEERING EVALUATION WAS CONDUCTED. THE COMPLAINT WAS CONFIRMED FOR DAMAGE NOTED ON THE BALLOON OF THE BTT ASSEMBLY (CUT ON THE BTT BALLOON NOTED). DETAILS OF THE INVESTIGATION CONDUCTED IS NOTED AS FOLLOWS: PRELIMINARY SCREENING INVESTIGATION: VISUAL INSPECTION OF THE DEVICE FOR USE: THE BTT ASSEMBLY WAS VISUALLY INSPECTED FOR USE AND WAS NOTED TO BE LIGHTLY COVERED WITH DRIED BLOOD AND TISSUE, CONFIRMING IT TO HAVE BEEN USED WITHIN THE PROCEDURE. VISUAL INSPECTION OF THE BALLOON FOR TEARS, PINHOLES, AND OTHER DAMAGE: THE BALLOON OF THE BTT WAS INSPECTED AND A CUT WAS NOTED IN THE MIDDLE OF THE BALLOON. IN REVIEW OF THE LOCATION OF THE CUT, THE CUT WAS IN THE MIDDLE OF THE BTT BALLOON AND NOT ON THE EDGES OF THE PROXIMAL OR DISTAL SUTURE LINES. EVERY MANUFACTURED BTT SUBASSEMBLY IS SUBJECTED TO THE 50CC INFLATION TEST PER MCV00009036 REV M. IF THE CUT WAS PRESENT DURING MANUFACTURING THE BTT SUBASSEMBLY WOULD HAVE FAILED THE 50CC INFLATION TEST. THIS INDICATES THAT THE CUT ON THE BALLOON WAS GENERATED DURING THE COURSE OF THE PROCEDURE. THE LOT # 3000512805 HISTORY RECORD REVIEW WAS COMPLETED. THERE WERE NO NCMRS, REWORK, OR DEVIATIONS DOCUMENTED FOR THE REPORTED LOT NUMBER. BASED ON THE DHR/LHR REVIEW RESULTS, IT WAS DETERMINED THAT THERE IS NO RELATION BETWEEN THE BATCH MANUFACTURING PROCESS AND THE REPORTED FAILURE.
THE HOSPITAL REPORTED THAT DURING A CABG PROCEDURE, THE CUSTOMER INTENDED TO USE THE VASOVIEW HEMOPRO 2 FOR VESSEL HARVESTING. IT WAS FOUND THAT THE BTT CUFF COULD NOT BE INFLATED. THE ENTIRE BOX WAS COLLECTED AND EXCHANGED FOR A NEW ONE. NO DELAY. THERE WAS NO HARM TO THE PATIENT.
N/A.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 596911 | VASOVIEW HEMOPRO 2 | ELECTROSURGICAL, CUTTING & COAGULATION & ACCESSORIES | GEI | MAQUET CARDIOVASCULAR LLC | VH-4000 | 3000512805 | 00607567700406 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | NO CONCOMITANT PRODUCTS WERE USED. |