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