FDA Adverse Event
Injury
Summary report: N
CENTRIMAG BLOOD PUMP, CAN
MDR report key: 24716694
·
Received March 30, 2026
Report
- Report Number
- 3003306248-2026-00156
- Event Type
- Injury
- Date Received
- March 30, 2026
- Date of Event
- March 10, 2026
- Report Date
- March 27, 2026
- Manufacturer
- THORATEC SWITZERLAND GMBH
- Product Code
- QNR
- UDI-DI
- 07640135140047
- PMA / PMN Number
- K020271
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- CA
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
Additional Manufacturer Narrative · 0
NO FURTHER INFORMATION WAS PROVIDED. A SUPPLEMENTAL REPORT WILL BE SUBMITTED ONCE THE MANUFACTURER¿S INVESTIGATION IS COMPLETED.
Description of Event or Problem · 0
IT WAS REPORTED THAT THE PATIENT HAD CONSUMPTIVE COAGULOPATHY WHICH APPEARED ALMOST IMMEDIATELY AFTER INITIATION OF EXTRACORPOREAL LIFE SUPPORT (ECLS) AND PERSISTED THROUGHOUT THE RUN, WHILE THERE WAS NO EVIDENCE OF COAGULOPATHY PRIOR TO ECLS. A REVIEW OF THE PATIENT¿S CHART ALSO SHOWED MINIMAL IMPROVEMENT WITH CIRCUIT CHANGES, FOLLOWED BY RAPID RESOLUTION AFTER LIBERATION FROM ECLS. BASED ON THIS PATTERN, IT RAISED THE QUESTION OF WHETHER THIS WAS LESS CONSISTENT WITH A PRE ECLS SYSTEMIC INFLAMMATORY CONSUMPTIVE PROCESS AND MORE SUGGESTIVE OF A POSSIBLE CIRCUIT RELATED ISSUE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 783871 | CENTRIMAG BLOOD PUMP, CAN | Blood pump for ECMO, long-term (> 6 hours) use | QNR | THORATEC SWITZERLAND GMBH | 201-90016 | 10980560 | 07640135140047 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown | Required Intervention |