SORIN S3 BUBB DET 23-07-50

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional report with the FDA on 2016-11-04 for SORIN S3 BUBB DET 23-07-50 manufactured by Sorin Group Deutschland.

Event Text Entries

[59224182] Sorin group (b)(4) manufactures the sorin centrifugal pump system. The incident occurred in (b)(6). This medwatch report is being filed on behalf of sorin group (b)(4). Replacement parts have been provided to the customer. The defective unit has been requested for return to sorin group (b)(4). A follow-up report will be sent when the investigation is complete.
Patient Sequence No: 1, Text Type: N, H10


[59224183] Sorin group (b)(4) received a report that the sorin s3 bubble detector was found to be defective during priming. There was no patient involvement.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9611109-2016-00736
MDR Report Key6078809
Report SourceHEALTH PROFESSIONAL
Date Received2016-11-04
Date of Report2016-10-17
Date of Event2016-10-17
Date Mfgr Received2016-10-17
Device Manufacturer Date2014-03-10
Date Added to Maude2016-11-04
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactJOAN CEASAR
Manufacturer Street14401 W 65TH.WAY
Manufacturer CityARVADA CO 80004
Manufacturer CountryUS
Manufacturer Postal80004
Manufacturer Phone2812287260
Manufacturer G1SORIN GROUP DEUTSCHLAND
Manufacturer StreetLINDBERGHSTR. 25
Manufacturer CityMUNICH, 80939
Manufacturer CountryGM
Manufacturer Postal Code80939
Single Use3
Remedial ActionOT
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameSORIN S3 BUBB DET
Generic NameMONITOR AND/OR CONTROL, LEVEL SENSING, CARDIOPULMONARY BYPASS
Product CodeKRL
Date Received2016-11-04
Model Number23-07-50
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrR
Device Sequence No1
Device Event Key0
ManufacturerSORIN GROUP DEUTSCHLAND
Manufacturer AddressLINDBERGHSTR. 25 MUNICH, 80939 GM 80939


Patients

Patient NumberTreatmentOutcomeDate
10 2016-11-04

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