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 |