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