FDA Adverse Event Injury Summary report: N

MAQUET CARDIOPULMONARY AG

MDR report key: 3773625 · Received April 4, 2014

Report

Report Number
3008355164-2014-00078
Event Type
Injury
Date Received
April 4, 2014
Date of Event
March 6, 2014
Report Date
March 6, 2014
Manufacturer
MAQUET CARDIOPULMONARY AG
Product Code
KFM
Adverse Event
Yes
Product Problem
Yes
Report Source
Distributor report
Reporter Location
AZ, US
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL

Narratives

Description of Event or Problem · 1

IT WAS REPORTED THAT THE ROTAFLOW CONSOLE A WAS NOT CHARGING THE BATTERY WHILE IN USE ON A PATIENT. THE CHARGING LIGHT WAS ON, BUT WHEN PUT ON BATTERY MODE IT WOULD READ 19 VOLTS. THE CUSTOMER SWAPPED OUT THE UNIT FOR A UNIT WITH A NEW BATTERY. NO REPORTED PATIENT EFFECT. (B)(4). REF # MFR 8010762-2014-00177.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
205265 MAQUET CARDIOPULMONARY AG ROTAFLOW CONSOLE KFM MAQUET CARDIOPULMONARY AG 70105.1712 NA

Patients

Seq Age Sex Outcome Treatment
1 NA Required Intervention