FDA Adverse Event Malfunction Summary report: N

HEART LUNG MACHINE

MDR report key: 24684389 · Received March 25, 2026

Report

Report Number
8010762-2026-0000141
Event Type
Malfunction
Date Received
March 25, 2026
Date of Event
March 17, 2026
Report Date
April 23, 2026
Manufacturer
MAQUET CARDIOPULMONARY GMBH
Product Code
DTQ
UDI-DI
04037691773032
PMA / PMN Number
K943803
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CH
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A GETINGE FIELD SERVICE TECHNICIAN (FST) WILL BE SENT ONSITE FOR FURTHER INVESTIGATION AND REPAIR. AS SOON AS NEW INFORMATION BECOMES AVAILABLE A FOLLOW UP MEDWATCH WILL BE SUBMITTED. NOTE: THIS EVENT OCCURRED ON THE CHINESE MARKET. IT IS A SIGNIFICANTLY SIMILAR DEVICE TO "HL 20¿ WHICH IS SOLD IN THE USA UNDER PREMARKET SUBMISSION NUMBER K943803. FOR SECTION D4 ALL AVAILABLE IDENTIFYING INFORMATION IS FOR THE OUT OF THE US DEVICE, SUBJECTED TO THIS REPORT. THEREFORE, NO GUDID INFORMATION EXISTS. FURTHERMORE, UDI INFORMATION (PRIMARY DI NUMBER) PROVIDED IN D4 IS FOR HL 20 WITH CATALOG NUMBER 701043262.

Description of Event or Problem · 0

THE EVENT OCCURRED IN CHINA. IT WAS REPORTED THAT A HL 20 UNIT DISPLAYED THE ERROR MESSAGE "HEAD". THE ISSUE WAS OBSERVED DURING STARTUP OF THE DEVICE, AND NO PATIENT WAS INVOLVED. NO HARM TO ANY PERSON HAS BEEN REPORTED. ACCORDING TO THE HL20 SERVICE MANUAL THE ERROR "HEAD" INDICATES THAT THE MOTOR TACHO SHOWS A VALUE BUT THE HEAD TACHO SHOWS 0 (ZERO). THE REPORTED FAILURE CAN CAUSE AN UNINTENTIONAL PUMP STOP. THEREFORE, A REPORT IS REQUIRED. COMPLAINT ID: (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
748509 HEART LUNG MACHINE CONSOLE, HEART-LUNG MACHINE, CARDIOPULMONARY BYPASS DTQ MAQUET CARDIOPULMONARY GMBH MCP00706195#VARIO TWIN, HL 20, 4-PUMPS 04037691773032

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown