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Catalog Number 627427601 |
Device Problem
Disconnection (1171)
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Patient Problem
Insufficient Information (4580)
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Event Date 02/02/2021 |
Event Type
malfunction
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Manufacturer Narrative
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No patient information has been provided.The complained circuit was not made available for investigation.Livanova usa inc manufactures the complained circuit.The incident occurred in (b)(4).A review of the dhr did not identify any deviations or non-conformities relevant to the reported issue.If any additional information pertinent to the reported event is received, it will be provided in a supplemental report.
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Event Description
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Livanova usa inc.Has received a report that, during a procedure, the arterial line tubing disconnected from the connector that was used to add additional length of tubing during an extended support case (several days).According to information, (i) the patient had a blood loss and was administered of blood banck, (ii) the circuit has been used for 3 weeks and (iii) the final patient demise was not clarified.
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Manufacturer Narrative
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Livanova received a report stating that arterial line disconnected at a connector that was used to add additional length of 3/8"tubing during an extended support case.The patient required blood transfusion.A review of the dhr did not identify any deviations, non-conformities or material scrap/requests relevant to the reported issue.The involved parts (oxygenator, tubing and pumps) were requested for a detailed investigation but were not made available.Based on the investigations performed for similar cases, the root cause of the reported event was traced back to an alteration of the chemical / mechanical characteristics of the tubings (which are supplied by a livanova supplier).The supplier has been formally informed of the issue.No specific action was currently deemed necessary, livanova will keep monitoring the market.
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Event Description
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See initial report.
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Search Alerts/Recalls
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