inforMED
MalfunctionDPW

MAQUET CARDIOPULMONARY AG

Received Oct 8, 2013 · Event occurred Sep 11, 2013

Report 8010762-2013-00051 · MDR key 3459119

Device

Generic name

Hl 20 4-pumps Console Base

Model number

70102.8580

Lot number

NA

Product problems

  • Occlusion Within Device
  • Pre Or Post-Pumping Problem
  • Improper or Incorrect Procedure or Method

Patient

7 YR

  • No Patient Involvement

Narrative

Description of Event or Problem

IT WAS REPORTED THAT THE CUSTOMER FELT THEY HAD OVER OCCLUDED THE ROLLER ON A TWIN ROLLER PUMP WHICH CAUSED THE PUMP TUBING TO RUPTURE. THIS EVENT OCCURRED POST SUPPORT/BYPASS SO THERE WAS NO PATIENT EFFECT. (B)(4).

Additional Manufacturer Narrative

MAQUET MEDICAL SYSTEMS, USA SUBMITS THIS REPORT ON BEHALF OF THE LEGAL MANUFACTURER OF THE DEVICE MAQUET CARDIOPULMONARY (B)(4). MAQUET CARDIOPULMONARY (B)(4) PROVIDES PRODUCT FAILURE INVESTIGATION, ANALYSIS AND RESOLUTION FOR THE DEVICE DESCRIBED IN THIS REPORT. THE IFU FOR THE HL20 DESCRIBES HOW TO CHANGE THE OCCLUSION OF THE PUMP. IT IS NOTED IN THE IFU THAT AN INCORRECTLY ADJUSTED OCCLUSION CAN INFLUENCE THE LIFE TIME OF A TUBE.