inforMED
MalfunctionDTW

S3 BUBB DET SENSOR, LOW LEVEL II

Received Dec 4, 2019 · Event occurred Mar 16, 2018

Report 9611109-2019-00941 · MDR key 9408693

Device

Generic name

Monitor And/or Control, Level Sensing, Cardiopulmonary Bypass

Model number

23-27-40

Product problems

  • Failure to Auto Stop
  • Failure to Auto Stop

Patient

Not reported

  • No Patient Involvement
  • No Patient Involvement

Narrative

Additional Manufacturer Narrative

THERE WAS NO PATIENT INVOLVEMENT. LIVANOVA (B)(4) MANUFACTURES THE S3 BUBB DET SENSOR, LOW LEVEL II. THE INCIDENT OCCURRED IN (B)(6). A LIVANOVA FIELD SERVICE REPRESENTATIVE WAS DISPATCHED TO THE FACILITY TO INVESTIGATE THE DEVICE AND HE COULD NOT CONFIRM THE REPORTED FAILURE. THE DEVICE WAS FOUND TO BE WORKING ACCORDING TO THE SPECIFICATIONS. FUNCTIONAL VERIFICATION TESTING WAS COMPLETED WITHOUT FURTHER ISSUES AND THE UNIT WAS RETURNED TO SERVICE.

Description of Event or Problem

LIVANOVA RECEIVED A REPORT THAT THE MAIN PUMP ON S5 SYSTEM DID NOT STOPPED AT THE LEVEL SENSOR ALARM DURING PRIMING. THE USER TURNED OFF AND ON THE MAIN POWER OF THE SYSTEM AND THE ISSUE DISAPPEARED. THERE WAS NO PATIENT INVOLVEMENT.

Remedial action

  • Other