S3 BUBB DET SENSOR, LOW LEVEL II
Received Nov 28, 2019 · Event occurred Oct 2, 2019
Report 9611109-2019-00923 · MDR key 9390402
Device
Generic name
Monitor And/or Control, Level Sensing, Cardiopulmonary Bypass
Manufacturer
Livanova Deutschland GmbhModel number
23-27-40Product problems
- Defective Alarm
- Defective Alarm
Patient
Not reported
- No Patient Involvement
- No Patient Involvement
Narrative
Additional Manufacturer Narrative
THERE WAS NO PATIENT INVOLVEMENT. LIVANOVA (B)(4) MANUFACTURES THE S3 BUBBLE DET SENSOR, LOW LEVEL II. THE INCIDENT OCCURRED IN (B)(6). THROUGH FOLLOW-UP COMMUNICATION LIVANOVA (B)(4) LEARNED THAT THE USER CHECKED THE SENSOR PAD AS FIRST, THEN HE USED A SENSOR FROM ANOTHER MACHINE TO RESOLVE THE ISSUE. A NEW LEVEL SENSOR WAS SHIPPED TO THE HOSPITAL. THROUGH FURTHER FOLLOW-UP COMMUNICATION LIVANOVA (B)(4) LEARNED THAT THE SENSOR WAS PROPERLY CONNECTED. IF ANY ADDITIONAL INFORMATION PERTINENT TO THE REPORTED EVENT IS RECEIVED, IT WILL BE PROVIDED IN A SUPPLEMENTAL REPORT.
Description of Event or Problem
LIVANOVA (B)(4) RECEIVED A REPORT THAT A S3 BUBBLE DET SENSOR, LOW LEVEL II DID NOT ALARM WHEN RESERVOIR WAS EMPTY DURING SETUP. THERE WAS NO PATIENT INVOLVEMENT.
Remedial action
- Other