inforMED
MalfunctionDTR

MPS3 ND CONSOLE

Received May 18, 2026 · Event occurred Apr 20, 2026

Report 1649914-2026-00011 · MDR key 25203990

Device

Generic name

Cardiopulmonary Bypass Heat Exchanger,

Model number

5301000ND

Product problems

  • Failure to Deliver
  • Output Problem
  • No Apparent Adverse Event

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Additional Manufacturer Narrative

THE DEVICE HAS NOT BEEN RETURNED FOR INVESTIGATION. A FOLLOW-UP REPORT WILL BE SUBMITTED AFTER INVESTIGATION IS COMPLETED.

Description of Event or Problem

THE REPORT STATES UNIT (B)(6) DISPLAYED AN ERROR CODE. THERE WAS NO OBSTRUCTION IN THE K+ DELIVERY LINE. THE SYSTEM KEPT TURNING OFF THE K+ DELIVERY AND THE "CONFIRM/RECHECK YELLOW ERROR SCREEN" KEPT POPPING UP. WHILE WE HIT RECHECK AND DELIVERY STARTED, IT THEN STOPPED AGAIN. THE SEQUENCE WAS REPEATED SEVERAL TIMES. UPDATE: YES, THERE WAS DELAY IN ARRESTING THE HEART. WE HAD TO REMOVE AND REAPPLY THE CROSS-CLAMP WHILE WAITING TO ADDRESS THE ISSUE. APPROXIMATE DELAY TIME WAS 5 MINUTES. THE HEART WAS SLUGGISH UPON CROSS-CLAMP REMOVAL, AT THE END OF THE PROCEDURE. MEDICATIONS WERE NEEDED TO SUPPORT THE HEART FUNCTION. NO ASSIST DEVICE WAS NEEDED.