SORIN S5 BUBBLE DETECTOR
Received Oct 7, 2016 · Event occurred Sep 7, 2016
Report 9611109-2016-00632 · MDR key 6012744
Device
Generic name
Detector, Bubble, Cardiopulmonary Bypass
Manufacturer
Sorin Group DeutschlandModel number
23-07-50Product problems
- Material Integrity Problem
- Material Integrity Problem
Patient
Not reported
- No Consequences Or Impact To Patient
- No Consequences Or Impact To Patient
Narrative
Additional Manufacturer Narrative
LIVANOVA (B)(4) MANUFACTURES THE CENTRIFUGAL PUMP SYSTEM. THE INCIDENT OCCURRED IN (B)(6). THIS MEDWATCH REPORT IS BEING FILED ON BEHALF OF LIVANOVA (B)(4). THE BUBBLE SENSOR WAS RETURNED TO LIVANOVA (B)(4) FOR EVALUATION. DETAILED INSPECTION IDENTIFIED A TEAR IN THE RIGHT SIDE PILLOW AND THE GEL HAD LEAKED OUT. THE SPECIFIC CAUSE OF THE TEAR CANNOT BE DETERMINED AS IT OCCURRED DURING USE BY THE CUSTOMER. A REVIEW OF THE DHR DID NOT IDENTIFY ANY DEVIATIONS OR NON-CONFORMITIES RELEVANT TO THE REPORTED ISSUE. A TREND OF FAILING BUBBLE SENSORS DUE TO LEAKS IN CUSHIONS HAS NOT BEEN IDENTIFIED SO FAR. HOWEVER, CAPA (B)(4) WAS INITIATED TO EVALUATE THE LIFETIME OF THE BUBBLE SENSOR.
Additional Manufacturer Narrative
SORIN GROUP (B)(4) MANUFACTURES THE SORIN CENTRIFUGAL PUMP SYSTEM. THE INCIDENT OCCURRED IN (B)(4). THIS MEDWATCH REPORT IS BEING FILED ON BEHALF OF SORIN GROUP (B)(4). SORIN GROUP (B)(4) RECEIVED A REPORT THAT THE SORIN S5 BUBBLE DETECTOR CUSHIONS WERE FOUND TO BE DEFLATED DURING A PROCEDURE. THERE WAS NO REPORT OF PATIENT INJURY. A SORIN GROUP FIELD SERVICE REPRESENTATIVE WAS DISPATCHED THE FACILITY TO INVESTIGATE. THE SERVICE REPRESENTATIVE WAS UNABLE TO IDENTIFY THE ISSUE ON SITE. THE BUBBLE SENSOR WAS RETURNED TO SORIN GROUP (B)(4) FOR FURTHER INVESTIGATION. THE INVESTIGATION IS ONGOING. A FOLLOW-UP REPORT WILL BE SENT WHEN THE INVESTIGATION IS COMPLETE. EVALUATION IN PROGRESS.
Description of Event or Problem
SORIN GROUP (B)(4) RECEIVED A REPORT THAT THE SORIN S5 BUBBLE DETECTOR CUSHIONS WERE FOUND TO BE DEFLATED DURING A PROCEDURE. THERE WAS NO REPORT OF PATIENT INJURY.
Remedial action
- Other