FDA Adverse Event Injury Summary report: N

TELEFLEX MEDICAL AC3 OPTIMUS INTRA AORTIC BALLOON PUMP

MDR report key: 24702538 · Received March 26, 2026

Report

Report Number
MW5185980
Event Type
Injury
Date Received
March 26, 2026
Date of Event
January 8, 2026
Report Date
March 23, 2026
Manufacturer
ARROW INTERNATIONAL LLC (SUBSIDIARY OF TELEFLEX INCORPORATED)
Product Code
DSP
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
TN, US
Reporter Occupation
RISK MANAGER
Health Professional
Yes

Narratives

Description of Event or Problem · 0

INTRA-AORTIC BALLOON PUMP MALFUNCTIONING - (B)(4), SERIAL # (B)(6) - ALARMING "NO ELECTROCARDIOGRAM SIGNAL" I CHANGED ALL THE LEADS, MOVED THE LEADS TO DIFFERENT AREAS TO SEE IF SIGNAL WOULD IMPROVE - CALLED THE IABP ON CALL REPRESENTATIVE WHO INSTRUCTED ME TO USE A CABLE THAT WAS LOCATED IN THE BLUE BAG ON THE SIDE OF IABP THAT WOULD CONNECT TO OUR MONITOR - I DID AS SHE INSTRUCTED - CONTINUED TO ALARM "NO ECG SIGNAL " SHE THEN INSTRUCTED ME TO GET ANOTHER ECG CORD . WE DID NOT HAVE ANOTHER ECG CORD AVAILABLE. WE ONLY HAVE 2 IABPS AND BOTH WERE IN USE. SHE THEN INSTRUCTED ME TO TURN OFF IABP (GIVEN PATIENT WAS STABLE ENOUGH TO WITHSTAND THIS) AND TURN BACK ON. I DID AS INSTRUCTED AND WHEN IT CAME BACK ON, ECG WAS WORKING AS IT SHOULD.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
756386 TELEFLEX MEDICAL AC3 OPTIMUS INTRA AORTIC BALLOON PUMP SYSTEM, BALLOON, INTRA-AORTIC AND CONTROL DSP ARROW INTERNATIONAL LLC (SUBSIDIARY OF TELEFLEX INCORPORATED) AC3 OPTIMUS

Patients

Seq Age Sex Outcome Treatment
1 61 YR Male Required Intervention