FDA Adverse Event
Malfunction
Summary report: N
BIGGER BETTER-BLADDER
MDR report key: 8934600
·
Received August 27, 2019
Report
- Report Number
- 8934600
- Event Type
- Malfunction
- Date Received
- August 27, 2019
- Date of Event
- January 3, 2019
- Report Date
- August 20, 2019
- Manufacturer
- CIRCULATORY TECHNOLOGY INC
- Product Code
- DTN
- Product Problem
- Yes
- Report Source
- User Facility report
- Reporter Location
- FL
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
Narratives
Description of Event or Problem · 1
THE BIGGER BETTER BLADDER IN THE ECMO CIRCUIT HAS AN AIR CHAMBER ON THE OUTSIDE FOR EQUILIBRATING THE PRESSURES DURING THE RUN THAT ENSURES APPROPRIATE NEGATIVE PRESSURE ON THE SYSTEM. DURING THE PREVIOUS NIGHT, SPECIALIST HAS TROUBLE MAINTAINING THE AIR CHAMBER TO THE RIGHT PRESSURE. WE FOUND THE AIR CHAMBER PIGTAIL CONNECTOR WAS LEAKING, REQUIRING THE BLADDER TO BE CHANGED ON THE CIRCUIT. THE PATIENT WAS OFF BYPASS FOR 1 MINUTE AND 20 SECONDS DURING THE CHANGE, BUT TOLERATED THE BRIEF TIME OFF WITHOUT INCIDENT. POSSIBLY A MANUFACTURER DEFECT. EVENT WAS RELATED TO A DEFECTIVE CONSUMABLE WHICH WAS REPLACED WITH NO EVENT. MACHINE DID NOT MALFUNCTION; NO FURTHER ACTION REQUIRED BY BIOMED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 727749 | BIGGER BETTER-BLADDER | RESERVOIR, BLOOD, CARDIOPULMONARY BYPASS | DTN | CIRCULATORY TECHNOLOGY INC | BBB38 | 5300-S19955 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 8395 DA |