MAUDE Adverse Event Report: LIVANOVA DEUTSCHLAND EVO CLAMP; CONSOLE, HEART-LUNG MACHINE, CARDIOPULMONARY BYPASS

Model Number	NG-EVO - KLEMMEINHEIT
Medical Device Problem Code	Difficult to Open or Close (2921)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	12/04/2025
Type of Reportable Event	Malfunction
Event or Problem Description
Livanova deutschland received a report that the essenz venous clamp was not working properly and error code 2551 was showed.The issue occurred during procedure.There is no report of any patient injury.
Additional Manufacturer Narrative
A1-a5 patient information was not provided h11 livanova deutschland manufactures the essenz evo clamp, the event occurred in united arab emirates.Livanova initiated an investigation.If any additional information pertinent to the reported event is received, it will be provided in a supplemental report.

• Brand Name: EVO CLAMP
• Common Device Name: CONSOLE, HEART-LUNG MACHINE, CARDIOPULMONARY BYPASS
• Manufacturer (Section D): LIVANOVA DEUTSCHLAND; lindberghstrasse 25; munich 80939 ; GM 80939
• Manufacturer (Section G): LIVANOVA DEUTSCHLAND; lindberghstrasse 25; munich 80939 ; GM 80939
• Manufacturer Contact: annarita di lascio ; 14401 w. 65th way; arvada, CO
• MDR Report Key: 23920522
• Report Number: 9611109-2025-90638
• Device Sequence Number: 21085718
• Product Code: DTQ
• Combination Product (Y/N): N
• Initial Reporter Country: TC
• PMA/510(K) Number: K232291
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Initial Reporter Occupation: Other
• Type of Report: Initial,Followup
• Report Date (Section B): 07/13/2026

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: NG-EVO - KLEMMEINHEIT
• Device Catalogue Number: 12-80-40
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: No
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 12/08/2025
• Supplement Date Received by Manufacturer: 06/16/2026
• Initial Report FDA Received Date: 12/30/2025
• Supplement Report FDA Received Date: 07/13/2026
• Date Device Manufactured: 02/27/2025
• Usage of Device: A
• Patient Sequence Number: 1
• Patient Sex: Unknown