inforMED
MalfunctionDTR

MPS3 ND CONSOLE

Received Jun 26, 2026 · Event occurred Jun 1, 2026

Report 1649914-2026-00012 · MDR key 25635275

Device

Generic name

Cardiopulmonary Bypass Heat Exchanger,

Model number

5301000ND

Product problems

  • Electrical /Electronic Property Problem
  • Unexpected Shutdown

Patient

NA · Unknown

  • No Clinical Signs, Symptoms or Conditions

Narrative

Description of Event or Problem

THE REPORT STATED THAT AFTER APPROXIMATELY 150ML OF INDUCTION DOSE DELIVERY, THE CONSOLE PRESENTED AN ALARM MESSAGE REQUIRING A MANUAL RESTART OF THE CONSOLE SYSTEM. DURING THE SYSTEM RESTART THE PATIENT FIBRILLATED.

Additional Manufacturer Narrative

A COMPLAINT WAS RECEIVED AND REPORTED BY THE CLINICIAN (B)(4) QUEST) REGARDING USE OF PRODUCT MPS3ND (SERIAL NO. (B)(6)) AT (B)(6). DURING THE RESTART INTERVAL, THERAPY WAS INTERRUPTED AND THE PATIENT EXPERIENCED VENTRICULAR FIBRILLATION. FOLLOWING COMPLETION OF THE REBOOT, THE CONSOLE RESUMED OPERATION AND FUNCTIONED AS DESIGNED. COMPANY TECHNICIAN DANA OWENS WAS PRESENT DURING THE EVENT AND REPORTED NO OBSERVED USER ERROR OR MISUSE OF THE DEVICE. THE SURGEON HAS REQUESTED REPLACEMENT OF THE DEVICE, NOTING THAT THIS WAS THE FIRST TIME THE PUMP WAS UTILIZED ON A PATIENT. THE DEVICE IS BEING EVALUATED. FURTHER INVESTIGATION RESULTS WILL BE PROVIDED IF ADDITIONAL RELEVANT INFORMATION BECOMES AVAILABLE.