inforMED
InjuryDTP

VENOUS BUBBLE TRAP (VBT)

Received Jun 28, 2016 · Event occurred Jun 6, 2016

Report 8010762-2016-00413 · MDR key 5755937

Device

Generic name

Defoamer, Cardiopulmonary Bypass

Model number

BE-VBT 160

Catalog number

70103.0118

Lot number

92187089

Product problems

  • Suction Problem
  • Device Operates Differently Than Expected

Patient

Not reported

  • No Information
  • No Information

Narrative

Additional Manufacturer Narrative

MAQUET CARDIOPULMONARY (B)(4) REQUESTED THE PRODUCT BACK FOR INVESTIGATION AND RECEIVED IT ON 06/24/2016. OUR CUSTOMERS NEED TO FILL OUT A DECLARATION OF INFECTION RISK. IF THIS DOCUMENT IS NOT RECEIVED WE ARE NOT ABLE TO INVESTIGATE THE PRODUCT. IN CASE # (B)(4) THE HOSPITAL DID NOT FILL OUT THE DECLARATION OF INFECTION RISK COMPLETELY DUE TO GIVEN LAW IN THE (B)(6) THEY ARE NOT ALLOWED TO FILL OUT A SECTION. THEREFORE, THE SAMPLE COULD NOT INVESTIGATED BY OUR LABORATORY. ON THE OTHER HAND, DEVICE HISTORY RECORD OF THE COMPLAINED LOT HAS BEEN REVIEWED BY MAQUET CARDIOPULMONARY (B)(4) AND NO ABNORMALITY WAS FOUND FOR THE RELATED MATERIAL. ALL THE CONTROLS WERE DONE ACCORDING TO THE PROCESS CONTROL FORM, ALSO, IT WAS CONTROLLED THAT THE LEAKAGE TEST IN THE VBT PRODUCTION WAS PERFORMED. A SAP TREND SEARCH HAS BEEN PERFORMED (SEARCH FOR MATERIAL AND COMPONENT NUMBER 70103.0118, ERROR MESSAGE: 1000) WHICH CAME TO FOLLOWING RESULT: NO ADDITIONAL COMPLAINT WERE RECORDED. BASED ON THIS, A CONFIRMATION OF THE FAILURE BASED ON PREVIOUS COMPLAINTS IS NOT POSSIBLE, AND THERE IS NO SYSTEMIC ISSUE INDICATED.

Description of Event or Problem

(B)(4).

Additional Manufacturer Narrative

(B)(4). MAQUET CARDIOPULMONARY (B)(4) REQUESTED THE PRODUCT BACK FOR INVESTIGATION AND RECEIVED IT ON 06/24/2016. DEVICE HISTORY RECORD OF THE COMPLAINED LOT HAS BEEN REVIEWED BY MAQUET CARDIOPULMONARY (B)(4). THEREBY NO ABNORMALITY WAS FOUND FOR THE RELATED MATERIAL. ALL THE CONTROLS WERE DONE ACCORDING TO THE PROCESS CONTROL FORM, ALSO, IT WAS CONTROLLED THAT THE LEAKAGE TEST IN THE VBT PRODUCTION WAS PERFORMED. A SUPPLEMENTAL MEDWATCH WILL BE SUBMITTED WHEN FURTHER INFORMATION BECOMES AVAILABLE.

Description of Event or Problem

DESCRIPTION FROM THE CUSTOMER REPORT: "NOT ABLE TO SUCK THE COLLECTED AIR ON TOP OF THE VENOUS BUBBLE TRAP ON THE USUAL WAY. THEY FINALLY MANAGED TO DO THIS MANUALLY WITH A SYRINGE" (B)(4).