FDA Adverse Event Malfunction Summary report: N

HEART LUNG MACHINE

MDR report key: 25313154 · Received May 28, 2026

Report

Report Number
8010762-2026-0000261
Event Type
Malfunction
Date Received
May 28, 2026
Date of Event
May 7, 2026
Report Date
May 28, 2026
Manufacturer
MAQUET CARDIOPULMONARY GMBH
Product Code
DTQ
UDI-DI
04037691773032
PMA / PMN Number
K943803
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TU
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

A GETINGE FIELD SERVICE TECHNICIAN (FST) WAS SENT FOR INVESTIGATION AND REPAIR ON (B)(6) 2026. THE FAILURE COULD BE REPRODUCED AND THE MCP00151005#CLS 20-535 CAPACITIVE LEVEL (MATERIAL# (B)(4)) NEEDS TO BE REPLACED. THE INVESTIGATION IS ONGOING. FURTHER INFORMATION HAS BEEN REQUESTED BUT HAS NOT YET BEEN RECEIVED. A FOLLOW-UP MEDWATCH WILL BE SUBMITTED WHEN ADDITIONAL INFORMATION BECOMES AVAILABLE. THIS EVENT OCCURRED ON THE TURKEY MARKET ON A SIGNIFICANTLY SIMILAR DEVICE TO "VARIO TWIN, HL 20 4-PUMPS", WHICH IS SOLD IN THE US UNDER PREMARKET SUBMISSION NUMBER K943803 FOR THE OUT OF THE US DEVICE, SUBJECTED TO THIS REPORT. FOR D4 UNIQUE IDENTIFIER (UDI)#, PRIMARY DI NUMBER HAS BEEN USED FOR VARIO TWIN, HL 20 4-PUMPS WITH CATALOG NUMBER 701043262, WHICH IS SOLD IN THE US. PROVIDED D4 SERIAL NUMBER AND H4 DEVICE MANUFACTURER DATE CORRESPOND TO DEVICE INVOLVED IN THE EVENT, NOT AVAILABLE IN US.

Description of Event or Problem · 0

THE EVENT OCCURRED IN TURKEY DURING A ROUTINE CHECK. IT WAS REPORTED THAT THE ERROR MESSAGE "SENSOR FAULT" WAS DISPLAYED FOR THE LEVEL SENSOR. NO HARM TO ANY PERSON HAS BEEN REPORTED. COMPLAINT ID: (B)(4).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
426911 HEART LUNG MACHINE CONSOLE, HEART-LUNG MACHINE, CARDIOPULMONARY BYPASS DTQ MAQUET CARDIOPULMONARY GMBH HL 20 04037691773032

Patients

Seq Age Sex Outcome Treatment
1