inforMED
MalfunctionDTL

COPILOT

Received May 28, 2026 · Event occurred May 6, 2026

Report 2024168-2026-02159 · MDR key 25315197

Device

Generic name

Adaptor, Stopcock, Manifold, Fitting, Cardiopulmonary Bypass

Model number

1003331

Catalog number

1003331

Lot number

60689490

Product problems

  • Loose or Intermittent Connection

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THE PROCEDURE WAS TO TREAT AN UNKNOWN LESION. THE COPILOT BLEEDBACK CONTROL VALVE (BBCV) LUER LOCK KEPT COMING LOOSE AND NOT CONNECTING. THERE WERE NO ADVERSE PATIENT EFFECTS AND NO CLINICALLY SIGNIFICANT DELAY IN THE PROCEDURE. NO ADDITIONAL INFORMATION WAS PROVIDED.

Additional Manufacturer Narrative

B3- FOR REPORTING PURPOSES, THE DATE OF PROCEDURE WAS WILL BE ESTIMATED AS 5/06/2026, AS THE PROCEDURES WERE REPORTED TO HAVE TAKEN PLACE DURING THE WEEK OF (B)(6) 2026. MANUFACTURER'S INVESTIGATION IS STILL PENDING AT THIS TIME. RESULTS AND CONCLUSIONS WILL BE PROVIDED IN THE FINAL REPORT.