FLOWTRON ACS900

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-03-24 for FLOWTRON ACS900 manufactured by Arjo / Arjohuntleigh Polska Sp. Zo.o.

Event Text Entries

[185052208] My father is in (b)(6) regional hosp for treatment of a stroke. A flowtron acs900 dvt compression pump is being used on him. On (b)(6) 2020 i noticed the display had a symbol with an exclamation mark and another symbol displayed. Due to the shortened visiting time, i was not able to investigate what it was. On the morning of (b)(6) 2020 it was discovered that my father was not responsive, a stroke code was called. He was sent for ct and mri testing which showed another stroke. When i visited him later in the day, i investigated the error on the pump by downloading the manual. I noticed that there was also a recall for the acs900, during my search for a manual. The troubleshooting section indicated that the display was indicating a malfunction / leak in port 1 of the pump. The pressure on port 1 would quickly raise to 70 mmhg and fall to zero, meaning there was no compression of the limb attached to that port. The pressure on port 2 ramped up to 40 mmhg and held for a few seconds, then released, this seemed to be normal operation. I have video and pictures of this operation, the asset tags and serial number of the machine. I contacted arjo to verify if the recall work was performed on the pump, after providing the serial number, i was told it was not corrected. I believe my father's stroke in the hosp was a result of the pump failure, only one of his legs were being compressed to prevent a dvt and stroke. Fda safety report id# (b)(4).
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report NumberMW5093909
MDR Report Key9877494
Date Received2020-03-24
Date of Report2020-03-21
Date of Event2020-03-19
Date Added to Maude2020-03-25
Event Key0
Report Source CodeVoluntary report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationPATIENT FAMILY MEMBER OR FRIEND
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameFLOWTRON ACS900
Generic NameSLEEVE, LIMB, COMPRESSIBLE
Product CodeJOW
Date Received2020-03-24
Model NumberACS900
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by MfgrI
Device Sequence No1
Device Event Key0
ManufacturerARJO / ARJOHUNTLEIGH POLSKA SP. ZO.O


Patients

Patient NumberTreatmentOutcomeDate
101. Hospitalization; 2. Life Threatening; 3. Other; 4. Deathisabilit 2020-03-24

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