Maquet medical systems,usa(importer)submits this report on behalf of the legal manufacturer of the device maquet cardiopulmonary ag kehler strasse 31, 76437 rastatt, germany.A follow-up medwatch will be submitted when additional information becomes available.Reference exemption # e2018002 importer- (b)(4).The defective rotaflow drive was sent to germany with rma# (b)(4) for further investigation at the supplier em-tec.According to the service report# rma#2018-10184 dated on 2018-07-19 following was found: the failure could be reproduced.The defective ila 213 was replaced as well as the ball bearing was replaced.Burnin, calibration and final check system test were performed according to the service protocol.The rotaflow drive unit passed all tests.The most probable root cause could be determined as mishandling and/or aging.Thus the failure could be confirmed.In the course of the investigation of nc-17-06-011 all complaints were analyzed individually to look for patterns and causes.After evaluation of the complaints, the following defects are the most common: hot plug, sig error followed by head error, error message due to shaking / error message due to sensitivity, connection problems and hardware-error.The increase in complaints with the error "head error" is due to a user / application error.The actions have been addressed in the past to prevent application errors.Furthermore, the instructions for use of the rotaflow system, see rotaflow system user manual, mcv-ga-10000703-de-11, contain detailed descriptions to prevent an "error head".In addition, the instruction manual describes how the user has to react in case of an error message so that the application can be continued if possible.Since there are several causes of errors that result in an error head (error head) message, no final root cause could be determined.It is noticeable that the evaluated error is largely due to a user error.Warning in the ifu regarding "hotplug" and label with the "hotplug" warning on the rfc have already been implemented in the past.
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