MAUDE Adverse Event Report: Maquet Cardiopulmonary GmbH Tubing Set; Oxygenator, Cardiopulmonary Bypass

Model Number	HLS Set
Medical Device Problem Code	Pressure Problem (3012)
Health Effect - Clinical Code	No Clinical Signs, Symptoms or Conditions (4582)
Date of Event	09/23/2026
Type of Reportable Event	Malfunction
Event or Problem Description
The event occurred usa during priming.It was reported that the pressure was not functioning on the set.The hls set was replaced and pressures functioned as required.There was no patient involvement, as it was for pre-priming.No harm to any person has been reported.As a pressure reading issue can lead to a pump stop, if the intervention is set by the user, a report is required.Complaint id: (b)(4).
Additional Manufacturer Narrative
A follow-up medwatch will be submitted when additional information becomes available.

• Brand Name: Tubing Set
• Common Device Name: Oxygenator, 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: 50911845
• Report Number: 8010762-2026-0000585
• Device Sequence Number: 5393438
• Product Code: DTZ
• UDI-Device Identifier: 04058863080383
• UDI-Public: (01)04058863080383(11)260410(17)270410(10)3000552488(240)701069078
• Combination Product (Y/N): N
• Initial Reporter State: CA
• Initial Reporter Country: US
• PMA/510(K) Number: K112360
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Reporter Type: Manufacturer
• Report Source: Health Professional,User Facility
• Initial Reporter Occupation: Other Health Care Professional
• Type of Report: Initial
• Report Date (Section B): 09/25/2026

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: HLS Set
• Device Catalogue Number: 701069078
• Device Lot Number: 3000552488
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: 09/23/2026
• Initial Report FDA Received Date: 09/28/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Is the Device Labeled for Single Use? (Y/N): Yes
• Usage of Device: Initial
• Patient Sequence Number: 1
• Patient Sex: Unknown