MAUDE Adverse Event Report: MAQUET CARDIOPULMONARY GMBH HEART LUNG MACHINE; PUMP, BLOOD, CARDIOPULMONARY BYPASS, NON-ROLLER TYPE

Model Number	ROTAFLOW DRIVE UNIT, BLUE
Medical Device Problem Code	Electrical /Electronic Property Problem (1198)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	11/07/2025
Type of Reportable Event	Malfunction
Additional Manufacturer Narrative
The investigation is ongoing.Further information has been requested but has not yet been received.A follow up medwatch will be submitted when additional information becomes available.Note: this event occurred on the taiwanese market.It is a significantly similar device to "base unit, rotaflow drive¿ which is sold in the usa under premarket submission number k991864.For section d4 all available identifying information is for the out of the us device, subjected to this report.Therefore, no gudid information exists.Furthermore, udi information (primary di number) provided in d4 is for rotaflow drive with catalog number *(b)(4).
Event or Problem Description
The event occurred in taiwan.It was reported that when the rpm (revolutions per minute) is over 1500, the rotaflow shows the error message ¿head error¿.The incident occurred during service and no patient was involved.No harm to any person has been reported.The reported ¿head error¿ could lead to a pump stop during use, therefore a report is required.Complaint id: (b)(4).
Additional Manufacturer Narrative
The event occurred in taiwan.It was reported that when the rpm (revolutions per minute) is over 1500, the rotaflow shows the error message ¿head error¿.The incident occurred during service and no patient was involved.No harm to any person has been reported.The reported ¿head error¿ could lead to a pump stop during use, therefore a report is required.The rotaflow drive (rfd) with s/n (b)(6) was detected as defective and has been sent to germany for repair.During the investigation of the affected rotaflow drive by the getinge service department on 2025-11-27, the "head error" could be confirmed.In addition, it was found that the closing assy is damaged.Thus, the drive was sent to the supplier emtec for repair on (b)(6) 2025.The head error is caused by the hot plug.When the device is in operation and the power plug is plugged in or out the head error occurs and the rota flow drive and / or the control board is damaged.As a result, the rota flow drive and / or the control board has to be replaced.Based on these investigation results the reported failures could be confirmed.The review of the non-conformities has been performed on 2025-11-13 for the period of 2019-11-04 to 2025-11-10.It does not show any non-conformity in regard to the reported product and failure.There is no indication that manufacturing issues occurred during this time, thus production related influences are unlikely.The rotaflow drive was produced in 2019-11-04.In addition, a review for potential field actions and capas related to the failure and product in this complaint was performed.This complaint is not in scope of any ongoing field actions and/or capas.For the affected serial numbers within the timeframe of the search no additional complaint was found for the same issue.In order to avoid reoccurrence of the reported failure "head error", it is necessary to follow the chapter in the instruction for use heart-lung support system rotaflow system| 4.4 | en | 15.Chapter 4.1.3: switch off the rotaflow console on/off switch before connecting the rotaflow drive to or disconnecting it from the rotaflow console.Otherwise the rotaflow console may be damaged.Chapter 2.2.3.: take damaged devices out of service immediately and have them tested by the authorized service personnel.It is also necessary to follow the chapter in the service manual for use heart-lung support system rotaflow system| en | 03 chapter 1.7: service-related work on a device may only be carried out by service technicians who have been trained and instructed and certified by getinge.Service-related work on a device carried out by unqualified service technicians may lead to injury of the service technician, patient or other persons or may lead to device damage.Chapter 1.10: a repair is carried out for maintenance after damage or malfunction of a rotaflow system.The occurrence rate was calculated for the reported issue and it was determined that this is not a systemic issue.Therefore, no remedial action is required.The occurrence rate related to the reported issue is currently being monitored as part of maquet cardiopulmonary¿s trending program and additional investigations or corrections will be implemented in case of adverse trending.
Event or Problem Description
Complaint id: (b)(4).

• Brand Name: HEART LUNG MACHINE
• Common Device Name: PUMP, BLOOD, CARDIOPULMONARY BYPASS, NON-ROLLER TYPE
• Manufacturer (Section D): MAQUET CARDIOPULMONARY GMBH; neue rottenburger strasse 37; hechingen
• Manufacturer (Section G): JULIA KAPFENBERGER; neue rottenburger strasse 37; hechingen
• Manufacturer Contact: neue rottenburger strasse 37; hechingen
• MDR Report Key: 23552119
• Report Number: 8010762-2025-0000502
• Device Sequence Number: 9530914
• Product Code: KFM
• UDI-Device Identifier: 04037691258997
• UDI-Public: (01)04037691258997
• Combination Product (Y/N): N
• Initial Reporter Country: TW
• PMA/510(K) Number: K991864
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Other,Foreign,Consumer,Health Professional
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial,Followup
• Report Date (Section B): 12/09/2025

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: No
• Is this a Product Problem Report?: Yes
• Operator of Device: Health Professional
• Device Model Number: ROTAFLOW DRIVE UNIT, BLUE
• Device Catalogue Number: 701022161
• Device Lot Number: 952291
• Was Device Available for Evaluation?: Yes
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 11/10/2025
• Supplement Date Received by Manufacturer: 11/27/2025
• Initial Report FDA Received Date: 11/14/2025
• Supplement Report FDA Received Date: 12/09/2025
• Was Device Evaluated by Manufacturer? (Y/N): Yes
• Date Device Manufactured: 11/04/2019
• Is the Device Labeled for Single Use? (Y/N): No
• Usage of Device: Reuse
• Patient Sequence Number: 1
• Patient Sex: Unknown