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 |