FDA Adverse Event
Death
Summary report: N
MAQUET CARDIOHELP-I SYSTEM
MDR report key: 3720407
·
Received March 2, 2014
Report
- Report Number
- 3008355164-2014-00061
- Event Type
- Death
- Date Received
- March 2, 2014
- Date of Event
- February 19, 2014
- Report Date
- February 19, 2014
- Manufacturer
- MAQUET CARDIOPULMONARY AG
- Product Code
- DTQ
- Adverse Event
- Yes
- Report Source
- Distributor report
- Reporter Location
- NC, US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
IT WAS REPORTED THAT A PATIENT WAS PLACED ON THE CARDIOHELP WITH MENINGITIS WHICH CREATED CARDIAC FAILURE. THE INITIATION OF ECLS (EXTRACORPOREAL LIFE SUPPORT) WAS SUCCESSFUL BUT THERE WAS DIFFICULTY MAINTAINING SUFFICIENT FLOW. THE INITIAL FLOWS WERE 1.5 LITERS/MIN BUT SOON DROPPED TO 200-400 MLS/MIN AT 3000 RPM'S. THE CANNULAS APPEARED TO BE VERY SMALL AND THE PATIENT'S VOLUME WAS DEFICIENT. THE VENOUS PRESSURES HAD A VERY HIGH NEGATIVE READING WHILE THE ARTERIAL PRESSURE WAS NORMAL. THE DEATH IS ATTRIBUTED TO THE PATIENT'S POOR CONDITION AND NOT THE DEVICE. NO DEVICE MALFUNCTION WAS REPORTED. (B)(4). REF MFR REPORT 8010762-2014-00146.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 125682 | MAQUET CARDIOHELP-I SYSTEM | CARDIOHELP-I SYSTEM | DTQ | MAQUET CARDIOPULMONARY AG | 70104.8012 | NA |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 13 YR | Death |