Model Number BE-01970311-PLS |
Device Problems
Disconnection (1171); Connection Problem (2900)
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Patient Problem
No Known Impact Or Consequence To Patient (2692)
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Event Date 05/10/2012 |
Event Type
malfunction
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Event Description
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The pt underwent a cardiac surgery and the same day he also underwent an ecmo procedure.After 8 days of using the set without any problems there was n arterial connector's detachment of the be-pls 2050.After that the team focus on ecmo procedure, replaced in emergency be-pls 2050 that was damaged with a new circuit, so the ecmo procedure continued for other 6 days more.No pt injury related to the detachment of the outlet connector reported.The oxygenator is a component of a be-pls 2050 # permanent life support set with an unk batch.Ref: (b)(4).
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Manufacturer Narrative
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(b)(4).Maquet cardiopulmonary (b)(4) provides product failure investigation, analysis and resolution for the device described in this report.This complaint is part of a capa (b)(4) and has not been reported due to "old" reporting policies and the oxygenator without coating is not sold in the us.The oxygenator itself, included in the pls tubing set has been glued with the same glue as the types of oxygenators which are sold in the us.The glue was changed in (b)(4) 2013 and the implementation was validated in (b)(4) 2013.Since then no further incidents related to connector detachments with the same root cause are known.A f/u report will not be issued.
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Search Alerts/Recalls
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