| Brand Name | Cardiohelp |
| Common Device Name | Console, Heart-Lung Machine, Cardiopulmonary Bypass |
| 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 | 50218389 |
| Report Number | 8010762-2026-0000463 |
| Device Sequence Number | 16038797 |
| Product Code |
DTQ
|
| UDI-Device Identifier | 04037691658384 |
| UDI-Public | (01)04037691658384(11)161118 |
| Combination Product (Y/N) | N |
| Initial Reporter State | AZ |
| Initial Reporter Country | US |
| PMA/510(K) Number | K133598 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,Company Representative |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial,Followup |
| Report Date (Section B) |
09/15/2026 |
| 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 | Cardiohelp-i |
| Device Catalogue Number | 701048012 |
| Device Lot Number | N/A |
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 08/04/2026 |
| Supplement Date Received by Manufacturer | 09/11/2026
|
| Initial Report FDA Received Date | 08/12/2026 |
| Supplement Report FDA Received Date | 09/15/2026
|
| Date Device Manufactured | 11/18/2016 |
| Is the Device Labeled for Single Use? (Y/N) |
No
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Sex | Unknown |